Organization
BLACK CANYON THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHAEL MILES LMFT (OWNER)
(585) 339-8822
Entity
Organization
Contact information
Practice address
3061 W CASINO AVE, PHOENIX, AZ 85083-5890
(585) 339-8822
Mailing address
3061 W CASINO AVE, PHOENIX, AZ 85083-5890
(585) 339-8822
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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