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Organization
AZ PURE WELLNESS, LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Organization
AZ PURE WELLNESS, LICENSED CLINICAL SOCIAL WORKER, P.C.
Active
Other names
AZ Pure Wellness LLC, AZ Pure Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN FAJARDO LCSW (CLINICIAN MANAGER)
(602) 825-3925
Entity
Organization
Contact information
Practice address
7865 W BELL RD # 1056, PEORIA, AZ 85382-3803
(602) 825-3925
Mailing address
7865 W BELL RD # 1056, PEORIA, AZ 85382-3803
(602) 825-3925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/17/2022
Last updated
03/17/2025
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