Organization
CHANGE, LLC
Active
Parent organization
CHANGE AZ
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANGE AZ
Authorized official
DR. TIFFANY RUELAZ PHD, LPC (CEO/LEAD CLINICAL THERAPIST)
(520) 276-6893
Entity
Organization
Contact information
Practice address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
(623) 632-9586
Mailing address
6692 E VIA JARDIN VERDE, TUCSON, AZ 85756-0022
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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