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Organization

AJ SOUTHWEST VENTURES INC

Active
Other names
reVIBE Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
ALLYSON FERNSTROM MSW (OWNER)
(602) 502-3806
Entity
Organization

Contact information

Practice address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(674) 480-9231
Mailing address
3920 S RURAL RD STE 112, TEMPE, AZ 85282-5500
(480) 674-9220
(674) 480-9231

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2084P0800X
Psychiatry Physician

Other

Enumeration date
12/08/2022
Last updated
02/18/2025
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