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Individual

ARBITA K FEROZEPURWALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
3807 N 7TH ST, PHOENIX, AZ 85014-5005
(602) 258-6797
Mailing address
15801 W APACHE ST, GOODYEAR, AZ 85338-9400
(602) 434-0442

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-16111
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
15040
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LISAC-15040
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
01
LPC-16111
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
07/07/2015
Last updated
09/29/2016
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