Organization
SONORAN LIFE COACHING, LLC
Active
Other names
Sonoran Life Coaching and Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CHRISTOPHER (OWNER)
(602) 446-2895
Entity
Organization
Contact information
Practice address
6424 E GREENWAY PKWY STE 101, SCOTTSDALE, AZ 85254-2045
(602) 446-2895
Mailing address
6928 E GRANDVIEW DR, SCOTTSDALE, AZ 85254-1552
(602) 446-2895
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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