Organization
CINDY L. TATUM, CMSW, INC.
Active
Other names
CLTatum & Associates Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY LOU TATUM-SHIPLEY LCSW (EXECUTIVE DIRECTOR)
(623) 876-2029
Entity
Organization
Contact information
Practice address
5400 W NORTHERN AVE, BUILDING B, SUITE 108 AND 108A, GLENDALE, AZ 85301-1406
(602) 574-0826
Mailing address
PO BOX 5160, PEORIA, AZ 85385-5160
(623) 876-2029
(623) 933-7729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BH-3564
AZ
101YM0800X
Mental Health Counselor
Primary
BH-3654
AZ
101YP2500X
Professional Counselor
BH-3654
AZ
1041C0700X
Clinical Social Worker
BH-3654
AZ
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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