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EDUVIGES JOANICOT
School >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1164640900
Individual Registrant: EDUVIGES JOANICOT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
708 E. PATRICIA ST. SOMERTON, AZ 85350 US
Tel: 928-341-6041 Fax: 928-341-6090
Tel: 928-341-6041 Fax: 928-341-6090
Contact information for business:
708 E. PATRICIA ST. SOMERTON, AZ 85350 US
Tel: 928-341-6041 Fax: --
Tel: 928-341-6041 Fax: --
Registration Information:
NPI: 1164640900
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YS0200X | Behavioral Health & Social Service Providers Counselor School | AZ | 3031852 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
