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IVAN ATOLE LPCC
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1154880862
Individual Registrant: IVAN ATOLE LPCC
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
302 W PONDEROSA ST, WHITERIVER, AZ 85941 US
Tel: 928-338-4858 Fax: --
Tel: 928-338-4858 Fax: --
Contact information for business:
PO BOX 1790 WHITERIVER, AZ 85941-1790 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1154880862
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | CO | 0016644 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
