Ivan Atole III, LPC
NPI #1154880862 in Whiteriver, Arizona
Provider Information
- NPI Number
- 1154880862
- Entity Type
- Individual
- Name
- Ivan Atole III, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Mar 13, 2019
- Last Updated
- Feb 6, 2023
Practice Location
- Address
- 302 W PONDEROSA ST,
- City
- Whiteriver
- State
- Arizona
- ZIP Code
- 85941
- Phone
- (928) 338-4858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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