Organization
ADOBE BEHAVIORAL COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWENDOLYN FAYE HANIAN BAILY LICENSED PROFESSIONA (SOLE PROPRIETOR OWNER)
(480) 838-7273
Entity
Organization
Contact information
Practice address
8727 S PRIEST DR, SUITE 102, TEMPE, AZ 85284-1915
(480) 838-7273
(480) 838-7273
Mailing address
8727 S PRIEST DR, SUITE 102, TEMPE, AZ 85284-1915
(480) 838-7273
(484) 704-0083
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0511
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28647
NCC
—
01
—
LPC0511
LICENSE
AZ
Enumeration date
02/06/2007
Last updated
08/21/2007
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