Individual
BOBBY MADEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2314 S VAL VISTA DR STE 100, GILBERT, AZ 85295-5570
(480) 804-0326
(480) 401-3857
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22829
AZ
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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