Organization
DESERT VILLAGE THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE GOLLENBERG LPC (MEMBER, MANAGER)
(520) 222-6693
Entity
Organization
Contact information
Practice address
2450 E SPEEDWAY BLVD STE 3, TUCSON, AZ 85719-4748
(520) 222-6693
Mailing address
2450 E SPEEDWAY BLVD STE 3, TUCSON, AZ 85719-4748
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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