Individual
SHIRLEY GATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAED
Contact information
Practice address
4888 BARRANCA ARBOLADA, SIERRA VISTA, AZ 85635-5732
(520) 461-2629
Mailing address
4888 BARRANCA ARBOLADA, SIERRA VISTA, AZ 85635-5732
(520) 461-2629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
Other
Enumeration date
08/24/2013
Last updated
08/24/2013
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