Organization
MADERA WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS MADERA JR. MSC,LPC (CEO/OWNER)
(480) 463-4793
Entity
Organization
Contact information
Practice address
7107 E THOMAS RD, SCOTTSDALE, AZ 85251-6559
(480) 463-4793
Mailing address
1628 W GLENROSA AVE, PHOENIX, AZ 85015-4734
(480) 463-4793
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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