Organization
HOZHO ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANE HILLOCK (PRINCIPAL)
(505) 722-8922
Entity
Organization
Contact information
Practice address
306 NM-564, GALLUP, NM 87301
(505) 722-8922
Mailing address
306 NM-564, GALLUP, NM 87301
(505) 722-8922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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