Individual
COLEEN WOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCCI
Contact information
Practice address
428 S GILBERT RD STE 109, GILBERT, AZ 85296-2262
(623) 282-2102
Mailing address
428 S GILBERT RD STE 109, GILBERT, AZ 85296-2262
(623) 282-2102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18376
AZ
Other
Enumeration date
04/15/2014
Last updated
05/03/2023
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