Organization
MOZAIC THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELLA CORDOVA (ADMIN)
(623) 326-1055
Entity
Organization
Contact information
Practice address
6700 N ORACLE RD STE 411, TUCSON, AZ 85704-7734
(520) 891-2127
(520) 334-1428
Mailing address
6700 N ORACLE RD STE 411, TUCSON, AZ 85704-7734
(520) 891-2127
(520) 334-1428
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12471861
CAQH
AZ
01
—
14539
AZLPC
AZ
Enumeration date
03/05/2019
Last updated
03/05/2019
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