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Organization
FULLER THEOLOGICAL SEMINARY
Active
Organization
FULLER THEOLOGICAL SEMINARY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL LINGLE MFT (CLINIC DIRECTOR)
(602) 613-1774
Entity
Organization
Contact information
Practice address
1110 E MISSOURI AVE STE 850, PHOENIX, AZ 85014-2733
(602) 613-1725
Mailing address
1110 E MISSOURI AVE STE 850, PHOENIX, AZ 85014-2733
(602) 613-1725
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
02/17/2026
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