Organization
WILLOW STREAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISA YANAGISAWA LCSW, LCSWC (OWNER)
(844) 647-2926
Entity
Organization
Contact information
Practice address
233 E SOUTHERN AVE UNIT 25237, TEMPE, AZ 85285-0076
(844) 647-2926
Mailing address
233 E SOUTHERN AVE UNIT 25237, TEMPE, AZ 85285-0076
(844) 647-2926
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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