Individual
MICHAEL RAIMONDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 W DUNLAP AVE STE 101, PHOENIX, AZ 85021-2845
(602) 737-9111
Mailing address
2301 W DUNLAP AVE STE 101, PHOENIX, AZ 85021-2845
(602) 737-9111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 1449
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720446532
MENTAL HEALTH
AZ
Enumeration date
02/08/2016
Last updated
02/04/2019
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