Individual
RAFAEL LEAHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 W NORTHERN AVE STE 105, PHOENIX, AZ 85051-6641
(503) 707-2637
Mailing address
5260 W MELINDA LN, GLENDALE, AZ 85308-9304
(503) 707-2637
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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