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Organization
MOMENTUM COUNSELING SERVICES
Active
Organization
MOMENTUM COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN KETTERLING (OWNER)
(623) 377-4737
Entity
Organization
Contact information
Practice address
5902 W CACTUS RD, GLENDALE, AZ 85304-1710
(623) 377-4738
Mailing address
18450 W BROOKWOOD DR, GOODYEAR, AZ 85338-6476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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