Individual
PATRICIA NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-8622
Mailing address
1559 WATASHEAMU RD, GARDNERVILLE, NV 89460-7455
(775) 265-8621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009383
STATE OF GEORGOA
GA
Enumeration date
10/23/2019
Last updated
10/23/2019
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