Individual
DANA VANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 W ELLIOT RD, GILBERT, AZ 85233-5129
(480) 223-0223
Mailing address
21333 N KARSTEN DR, MARICOPA, AZ 85138-1553
(480) 450-0741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22477
AZ
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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