Krzan, Nicole Gamun Ho
Krzan, Nicole Gamun Ho is an sole proprietor health care provider with primary practice located at Gateway Counseling 126 Broadbent Way, Anderson SC 29625. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Krzan, Nicole Gamun Ho can be contacted via phone (864) 406-6041.Contact Information
Primary practice address
Gateway Counseling 126 Broadbent Way
Anderson SC 29625
Phone: (864) 406-6041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Hawaii | |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 8072 | South Carolina |
Profile Details
| NPI number | 1417475948 |
|---|---|
| LBN Legal business name | Krzan, Nicole Gamun Ho |
| Credentials | MS, LPC, ATR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2017 |
| Last updated | Apr 29th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417475948 | NPPES |
| South Carolina | MEDICAID | 1417475948 |
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