Individual
TAHONNA LATREISE SURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3236 E CHANDLER BLVD UNIT 1034, PHOENIX, AZ 85048-7281
(520) 280-6272
Mailing address
3236 E CHANDLER BLVD UNIT 1034, PHOENIX, AZ 85048-7281
(520) 280-6272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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