Organization
CHANGE AZ
Active
Other names
CHANGE AZ
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY C RUELAZ PH.D, LPC (CEO)
(623) 632-9586
Entity
Organization
Contact information
Practice address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
(520) 276-6893
Mailing address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
(520) 276-6893
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
02/21/2024
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