Most Relevant Information
Provider Data
| NPI Number: | 1003261249 |
| Provider Name: | EMILY CHAMPA |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/25/2016 |
| Last Updated: | 04/25/2016 |
Provider Practice Location
737 W MINOR ST
APARTMENT I1
WINNEMUCCA
NV
894456090
Practice Location Phone/Fax
| Phone: | 5155749280 |
| Fax: |
Provider Mailing Location
737 W MINOR ST
APARTMENT I1
WINNEMUCCA
NV
894456090
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |