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Individual

ERICA FARDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
2901 E CAMELBACK RD STE 200, PHOENIX, AZ 85016-4420
(602) 777-6156
(602) 513-7303
Mailing address
2037 W BUTLER DR APT 204, PHOENIX, AZ 85021-4217
(602) 565-0620

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22299
AZ

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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