Individual
TUJUAN NOVEL NETTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAMFT
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(513) 850-2782
Mailing address
229 E HARVARD DR, TEMPE, AZ 85283-1844
(623) 451-4961
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAMFT-10565
AZ
101YP2500X
Professional Counselor
LAMFT-10565
AZ
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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