Individual provider · NPI-1

Wigberto Moises Coronel, MS. Clinical Psychol

Counselor, Mental Health · Bullhead City, AZ

NPI number1467923136
StatusActive
Last updated in NPPESDec 6, 2018

Details

NPI
1467923136
Entity type
Individual (NPI-1)
Name
Mr. Wigberto Moises Coronel
Credential
MS. Clinical Psychol
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 6, 2018
Last updated
Dec 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health2100067AZYes

Other names

  • Wigberto Moises Coronel (Former Name)

Practice location

1099 Hancock Rd
Bullhead City, AZ 86442-5957

Phone 928-299-3698

Mailing address

1099 Hancock Rd
Bullhead City, AZ 86442-5957

Phone 928-299-3698

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