| Ask Coach Gwen , Llc | |
|
660 Acoma Blvd N Lake Havasu City AZ 86403-3662 | |
| (214) 702-6775 | |
| Not Available |
| Full Name | Ask Coach Gwen , Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 660 Acoma Blvd N, Lake Havasu City, Arizona |
| Authorized Official Name and Position | Gwen L Hodrick (CEO AND THERAPIST) |
| Authorized Official Contact | 2147026775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ask Coach Gwen , Llc 660 Acoma Blvd N Lake Havasu City AZ 86403-3662 Ph: (214) 702-6775 | Ask Coach Gwen , Llc 660 Acoma Blvd N Lake Havasu City AZ 86403-3662 Ph: (214) 702-6775 |
| NPI Number | 1114607850 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 07/18/2023 |
| Certification Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114607850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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