| NPI | 1619634425 |
|---|---|
| Former Legal Business Name | MILLIE GAITAN COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MILDRED A GAITAN GONZALEZ Owner/Provider 208-421-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |