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Organization
THE BRIDGE COUNSELING, CONSULTING AND MEDIATION LLC
Active
Organization
THE BRIDGE COUNSELING, CONSULTING AND MEDIATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD CALLIRGOS LMFT (MARRIAGE AND FAMILY THERAPIST)
(480) 203-7165
Entity
Organization
Contact information
Practice address
4625 S. LAKESHORE DR., 302, TEMPE, AZ 85282
(480) 203-7165
Mailing address
4625 S. LAKESHORE DR., 302, TEMPE, AZ 85282
(480) 203-7165
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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