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IVAN ATOLE LPCC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1154880862

Individual Registrant:
 IVAN  ATOLE LPCC
Gender: M
Sole Proprietor

Location and contact information for practice:
302 W PONDEROSA ST,  WHITERIVER, AZ 85941 US
Tel: 928-338-4858  Fax: --

Contact information for business:
PO BOX 1790  WHITERIVER, AZ 85941-1790 US
Tel: --  Fax: --

Registration Information:
NPI: 1154880862
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
CO0016644

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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