Organization
BLACK SHEEP BEHAVIORAL, PLLC
Active
Other names
Black Sheep Behavioral
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA CHASE LPC (OWNER/CLINICAL THERAPIST)
(480) 465-6033
Entity
Organization
Contact information
Practice address
104 E RIVIERA DR, TEMPE, AZ 85282-5118
(480) 363-3168
Mailing address
104 E RIVIERA DR, TEMPE, AZ 85282-5118
(480) 363-3168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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