Organization
NORTHWEST COUNSELING & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODOLFO C NELLAS M.D. (PSYCHIATRIST/ OWNER)
(602) 361-1273
Entity
Organization
Contact information
Practice address
18301 N 79TH AVE, STE F170, GLENDALE, AZ 85308-8463
(623) 236-9295
(623) 236-8819
Mailing address
18301 N 79TH AVE, STE F170, GLENDALE, AZ 85308-8463
(623) 236-9295
(623) 236-8819
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z146536
PTAN
—
Enumeration date
11/08/2010
Last updated
09/06/2011
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