Individual
PETTY PEICHIUNG GO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
(480) 331-3828
Mailing address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10655
AZ
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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