Individual
MICHELLE HUNTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSMFT
Contact information
Practice address
2211 E HIGHLAND AVE STE 240, PHOENIX, AZ 85016-4894
(623) 680-3486
Mailing address
2025 E CAMPBELL AVE APT 368, PHOENIX, AZ 85016-5583
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6205T
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6205T
AZ BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
07/23/2019
Last updated
07/23/2019
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