Individual
MR. TERRELL PHABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(623) 692-2648
Mailing address
4600 E WASHINGTON ST STE 300, PHOENIX, AZ 85034-1908
(623) 692-2648
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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