Individual
BRITTANI PASCAL ANTUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPC, NCC
Contact information
Practice address
4802 E RAY RD STE 23-646, PHOENIX, AZ 85044-6405
(240) 801-5251
Mailing address
5023 S ROOSEVELT ST, TEMPE, AZ 85282-7732
(240) 801-5251
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-13884
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-16204
AZ
Other
Enumeration date
09/11/2012
Last updated
08/02/2020
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