Individual
REBECCA JORDAN TATUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS
Contact information
Practice address
14301 N 87TH ST STE 206, SCOTTSDALE, AZ 85260-3689
(480) 788-6568
Mailing address
17422 N 22ND ST, PHOENIX, AZ 85022-2233
(623) 237-2767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
16875
AZ
101Y00000X
Counselor
Primary
LPC-21526
AZ
Other
Enumeration date
01/13/2021
Last updated
11/29/2022
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