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Organization
BRAINTRAIN4YOU LLC
Active
Organization
BRAINTRAIN4YOU LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENE M. PETTA PSY.D. (CLINICAL PSCHOLOGIST/OWNER)
(480) 203-0403
Entity
Organization
Contact information
Practice address
6424 E GREENWAY PKWY STE 100-587, SCOTTSDALE, AZ 85254-2045
(480) 203-0403
Mailing address
PO BOX 4622, SCOTTSDALE, AZ 85261-4622
(480) 203-0403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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