Individual
MR. CLAUDE KUBWIMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3420 E SHEA BLVD # 259, PHOENIX, AZ 85028-3345
(602) 860-2749
Mailing address
4715 N BLACK CANYON HWY APT 2029, PHOENIX, AZ 85015-4078
(480) 938-5370
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
06/13/2023
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