Individual
BRADY LEE VICTOR FROESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
14040 N CAVE CREEK RD, PHOENIX, AZ 85022-6117
(602) 358-7073
(888) 927-0409
Mailing address
6635 W HAPPY VALLEY RD STE A104-621, GLENDALE, AZ 85310-2609
(602) 358-7073
(888) 927-0409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PENDING
AZ
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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