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Organization

NORTH VALLEY PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CARDEN (AUTHORIZED OFFICIAL)
(336) 343-5776
Entity
Organization

Contact information

Practice address
21639 N 12TH AVE STE 104, PHOENIX, AZ 85027-2802
(602) 647-1853
Mailing address
21639 N 12TH AVE STE 104, PHOENIX, AZ 85027-2802

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
07/08/2024
Last updated
07/16/2024
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