Organization
MINDFUL MOUNTAIN COUNSELING, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ELMA HUBER LPC (OWNER, MANAGER)
(623) 692-4311
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE, STE. 311C, GLENDALE, AZ 85308-8725
(623) 692-4311
Mailing address
17505 N 79TH AVE, STE. 311C, GLENDALE, AZ 85308-8725
(623) 692-4311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-14028
AZ
Other
Enumeration date
05/16/2013
Last updated
11/12/2013
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