Organization
FREEDOM FAMILY COUNSELING, LLC
Active
Other names
Great for Sports
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RASMUSSEN (EXECUTIVE FINANCIAL OFFICER)
(602) 561-7491
Entity
Organization
Contact information
Practice address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
(623) 695-8733
Mailing address
17250 N 43RD AVE STE 4, GLENDALE, AZ 85308-4032
(623) 695-8733
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689206633
—
AZ
Enumeration date
06/10/2020
Last updated
06/10/2020
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