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Pastoral >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1922628908

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
Tel: 520-609-1765  Fax: --

Contact information for business:
Tel: 520-609-1765  Fax: --

Registration Information:
NPI: 1922628908
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YP1600XBehavioral Health & Social Service Providers
Y1744R1102XOther Service Providers
Case Management

Legacy codes, insurance codes and state license numbers:



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