Individual
JAIMIE CALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 CALLE PORTAL STE 300, SIERRA VISTA, AZ 85635-2900
(520) 459-3011
Mailing address
1100 N F AVE, DOUGLAS, AZ 85607-1919
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15884
AZ
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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