Individual
CLAUDE MAHORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3606 E VAN BUREN ST APT 265, PHOENIX, AZ 85008-6987
(480) 616-5994
Mailing address
3606 E VAN BUREN ST APT 265, PHOENIX, AZ 85008-6987
(480) 616-5994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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