Individual
GREGORY IIAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAPC
Contact information
Practice address
1910 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 712-4600
Mailing address
874 S VINE ST, CHANDLER, AZ 85225-6820
(602) 743-1695
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21800
AZ
101YP2500X
Professional Counselor
LPC21800
AZ
Other
Enumeration date
02/20/2023
Last updated
02/21/2024
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