Organization
DE NOVO WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMAYEH SHUNK M.S. (THERAPIST)
(520) 400-4349
Entity
Organization
Contact information
Practice address
7400 N ORACLE RD, SUITE 172, TUCSON, AZ 85704-6331
(520) 400-4349
Mailing address
7400 N ORACLE RD, SUITE 172, TUCSON, AZ 85704-6331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC 13260
AZ
101Y00000X
Counselor
LPC 14085
AZ
101YM0800X
Mental Health Counselor
Primary
LPC 15271
AZ
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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