Organization
BREAKING WAVES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNICE SANDRA MORRIS LCSW (OWNER)
(520) 425-1316
Entity
Organization
Contact information
Practice address
2030 E BROADWAY BLVD STE 25, TUCSON, AZ 85719-5907
(520) 425-1316
Mailing address
951 W ORANGE GROVE RD APT 3103, TUCSON, AZ 85704-4003
(520) 425-1316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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