Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) |
NPI | 1003228123 |
---|---|
Provider Name | Elizabeth A Coelho |
First Address | Hanford, CA 93230-2910 |
Second Address | Hanford, CA 93230-2910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 22/05/2014 |