Individual
MATHEW WILLARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, BHT
Contact information
Practice address
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308-8724
(602) 292-4477
(602) 900-0969
Mailing address
23460 N 19TH AVE STE 220, PHOENIX, AZ 85027-2170
(602) 292-1862
(602) 900-0969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSLG13337
AZ
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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