Individual
TINA DANIELLE MINCHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2340 W RAY RD STE 2, CHANDLER, AZ 85224-3632
(201) 975-4771
Mailing address
10932 E CATALINA AVE, MESA, AZ 85208-7612
(480) 586-4621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21410
AZ
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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