person
Shoshoni Lee Viola Gensaw, MA
Mental Health Counselor in Mckinleyville, California
NPI 1710570676

Shoshoni Lee Viola Gensaw is a Mental Health Counselor based in Hoopa, CA and is specialized in Mental Health. Shoshoni Lee Viola Gensaw practices in Mckinleyville, CA and has the professional credentials of MA. The NPI Number for Shoshoni Lee Viola Gensaw is 1710570676 and holds a License No. 123921 (California).

The current practice location address for Shoshoni Lee Viola Gensaw is 1560 Betty Ct, Mckinleyville, CA and can be reached out via phone at 170-749-9257.

Location: 1560 Betty Ct, Mckinleyville, CA, 95546-0782
person
Provider Profile Details
NPI Number
1710570676
Provider Name
Shoshoni Lee Viola Gensaw
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1560 Betty Ct, Mckinleyville, CA, 95546-0782
Phone Number
170-749-9257
Fax Number
Provider Enumeration Date
02/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1560 Betty Ct
City
State
Zip
95519-4178
Phone Number
170-749-9257
Fax Number
person
Provider Business Mailing Address Details
Address
1560 Betty Ct
City
State
Zip
95519-4178
Phone Number
170-749-9257
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
123921 (California)
Definition
Definition to come...
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