Individual
MR. JOSHUA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MC
Contact information
Practice address
77 E COLUMBUS AVE STE 210, PHOENIX, AZ 85012-2351
(602) 230-7373
(602) 257-8029
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 230-7373
(602) 230-5105
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
10/10/2017
Last updated
12/06/2018
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