# EAST VALLEY PTSD COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689346561
- **Authorized official:** KATHRYN TIFFANY LPC (THERAPIST)
- **Authorized official phone:** (480) 789-9015

## Contact information

- **Practice address:** 4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
- **Practice address phone:** (480) 789-9015
- **Practice address fax:** (877) 345-1938
- **Mailing address:** 4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
- **Mailing address phone:** (480) 789-9015
- **Mailing address fax:** (877) 345-1938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/29/2021
- **Last updated:** 09/29/2021