Individual
NATASHA DE SOYSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 W BASELINE RD STE 210, TEMPE, AZ 85283-5350
(480) 307-6446
Mailing address
401 W BASELINE RD STE 210, TEMPE, AZ 85283-5350
(480) 307-6446
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16879
AZ
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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