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Ivan Atole III, LPC
Professional Counselor in Whiteriver, Arizona
NPI 1154880862

Ivan Atole III is a Professional Counselor based in Whiteriver, AZ and is specialized in Professional. Ivan Atole III practices in Whiteriver, AZ and has the professional credentials of LPC. The NPI Number for Ivan Atole III is 1154880862 and holds a License No. LPC.0017086 (Arizona).

The current practice location address for Ivan Atole III is 302 W Ponderosa St,, Whiteriver, AZ and can be reached out via phone at 928-338-4858.

Location: 302 W Ponderosa St,, Whiteriver, AZ, 85941-1790
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154880862
Provider Name
Ivan Atole III
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
302 W Ponderosa St,, Whiteriver, AZ, 85941-1790
Phone Number
928-338-4858
Fax Number
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
VJ546645 05 OH
institution
Provider Business Practice Location Address Details
Address
302 W Ponderosa St,
City
Whiteriver
State
Arizona
Zip
85941
Phone Number
928-338-4858
Fax Number
person
Provider Business Mailing Address Details
Address
302 W Ponderosa St,
City
Whiteriver
State
Arizona
Zip
85941
Phone Number
928-338-4858
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPC.0017086 (Colorado)
Definition
Definition to come...
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