Organization
HEAL AZ COUNSELING AND WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH BUTLER (OFFICE MANAGER)
(480) 204-2477
Entity
Organization
Contact information
Practice address
1845 S DOBSON RD STE 109, MESA, AZ 85202-5662
(480) 466-7010
Mailing address
3673 E NOLAN DR, CHANDLER, AZ 85249-4697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3961
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295192060
IND NPI NUMBER
AZ
Enumeration date
08/29/2017
Last updated
08/29/2017
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