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Organization

KANTRAST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA LUGO (FOUNDER & CEO)
(602) 781-1313
Entity
Organization

Contact information

Practice address
4323 N 12TH ST STE 103, PHOENIX, AZ 85014-4506
(602) 781-2160
(602) 296-5691
Mailing address
PO BOX 34053, PHOENIX, AZ 85067-4053
(602) 781-2160
(602) 296-5691

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103T00000X
Psychologist
104100000X
Social Worker
111N00000X
Chiropractor
133N00000X
Nutritionist
133V00000X
Registered Dietitian
171100000X
Acupuncturist
171400000X
Health & Wellness Coach
175F00000X
Naturopath
2084P0800X
Psychiatry Physician
225600000X
Dance Therapist
225700000X
Massage Therapist
225800000X
Recreation Therapist
363L00000X
Nurse Practitioner

Other

Enumeration date
10/13/2023
Last updated
10/13/2023
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