Individual
MARC DAVID CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17505 N 79TH AVE STE 410, GLENDALE, AZ 85308-8732
(623) 800-7980
(623) 242-1107
Mailing address
17505 N 79TH AVE STE 410, GLENDALE, AZ 85308-8732
(623) 800-7980
(623) 242-1107
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10729
AZ
Other
Enumeration date
12/16/2018
Last updated
09/23/2021
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