Individual
ASHNIE NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7406 S 33RD DR, PHOENIX, AZ 85041-5047
(248) 564-8841
Mailing address
7406 S 33RD DR, PHOENIX, AZ 85041-5047
(248) 564-8841
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH9471
AZ
324500000X
Substance Abuse Rehabilitation Facility
BH9471
AZ
Other
Enumeration date
06/07/2024
Last updated
01/16/2025
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