Nicholus Gentry

NPI #1669697223 in Selah, Washington

Provider Information

NPI Number: 1669697223
Entity Type: Individual
Name: Nicholus Gentry
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Apr 16, 2007
Last Updated: Jun 10, 2008

Practice Location

Address: 1790 SELAH LOOP ROAD #23
City: Selah
State: Washington
ZIP Code: 98942
Phone: (509) 452-7418

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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