Individual
MARY COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2632 E THOMAS RD STE 101, PHOENIX, AZ 85016-8220
(602) 957-2507
(602) 957-2510
Mailing address
3450 N 3RD ST, PHOENIX, AZ 85012-2331
(602) 257-9339
(602) 265-8533
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13640
AZ
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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