Organization
PHOENIX WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA KINNAMAN MA, NCC, LPC (CLINICAL DIRECTOR)
(480) 653-8434
Entity
Organization
Contact information
Practice address
2060 W WHISPERING WIND DR STE 270, PHOENIX, AZ 85085
(480) 653-8434
(623) 258-4077
Mailing address
2060 W WHISPERING WIND DR STE 270, PHOENIX, AZ 85085-2869
(480) 653-8434
(623) 258-4077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSLG8879
AZ
101YM0800X
Mental Health Counselor
OTC8779
AZ
Other
Enumeration date
01/08/2018
Last updated
08/09/2018
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