person
Gwen L Hodrick, LPC
Addiction (Substance Use Disorder) Counselor in Lake Havasu City, Arizona
NPI 1194105122

Gwen L Hodrick is an Addiction (Substance Use Disorder) Counselor based in Lake Havasu City, AZ and is specialized in Addiction (Substance Use Disorder). Gwen L Hodrick practices in Lake Havasu City, AZ and has the professional credentials of LPC. The NPI Number for Gwen L Hodrick is 1194105122 and holds a License No. 12811 (Arizona).

The current practice location address for Gwen L Hodrick is 660 Acoma Blvd N, Lake Havasu City, AZ and can be reached out via phone at 214-702-6775 and via fax at 214-614-4725.

Location: 660 Acoma Blvd N, Lake Havasu City, AZ, 86403-3662
person
Provider Profile Details
NPI Number
1194105122
Provider Name
Gwen L Hodrick
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
660 Acoma Blvd N, Lake Havasu City, AZ, 86403-3662
Phone Number
214-702-6775
Fax Number
214-614-4725
Provider Enumeration Date
06/04/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164381 05 AZ
institution
Provider Business Practice Location Address Details
Address
660 Acoma Blvd N
City
State
Zip
86403-3662
Phone Number
214-702-6775
Fax Number
214-614-4725
person
Provider Business Mailing Address Details
Address
660 Acoma Blvd N
City
State
Zip
86403-3662
Phone Number
214-702-6775
Fax Number
214-614-4725
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
69392 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12811 (Texas)
Definition
Definition to come...
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