Olivia R. Gonzalez LADC

NPI 1134213556 - Counselor - 101YA0400X

NPI Details
NPI 1134213556
Gender Female
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4110 AVE D
SCOTTSBLUFF NE, 69361, US
Phone (308) 635-3171
Fax
Business Location
560 MARK DR.
GERING NE, 69341, US
Phone
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State Nebraska
License Number 50
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According to our database, Olivia R. Gonzalez LADC NPI is 1134213556, taxonomy code is 101YA0400X and license number is 50, license state is located at Nebraska. Olivia R. Gonzalez LADC physically located at 4110 Ave D, Scottsbluff NE, 69361. NPI Number Olivia R. Gonzalez LADC has the Individual type.

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1134213556 NPI number is provided on an as is basis without warranty of any kind. 1134213556 is maintained by the National Plan & Provider Enumeration System. The contents of Olivia R. Gonzalez LADC are for informational purposes only.