Individual
ILIANA TINTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, LPC
Contact information
Practice address
3610 N 44TH ST STE 140, PHOENIX, AZ 85018-6041
(602) 218-6901
Mailing address
9814 E ROSEMARY LN, SCOTTSDALE, AZ 85260-2194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17300
AZ
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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