Individual provider · Type 1 NPI
Manervia Genette Gentle Wilemon
Mental Health Counselor · Sun City, AZ
NPI number
1194232595
Active
Practice location
13000 N 103rd Ave Ste 74
Sun City, AZ 85351-3056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC15980 (AZ) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1194232595
Manervia Genette Gentle Wilemon's National Provider Identifier is 1194232595, issued on Jan 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sun City, AZ. The record was last updated on Jan 8, 2018.