Individual
MISS MARINA CHABOLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1830 E ROOSEVELT ST, PHOENIX, AZ 85006-3641
(602) 256-5300
(602) 256-5307
Mailing address
1830 E ROOSEVELT ST, PHOENIX, AZ 85006-3641
(602) 256-5300
(602) 256-5307
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11132
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86-0841341
FED ID# 86-0841341
AZ
Enumeration date
01/29/2009
Last updated
01/29/2009
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