Individual
SHELBY DANA WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
1112 E KAEL CIR, MESA, AZ 85203-1900
(480) 745-9882
Mailing address
1112 E KAEL CIR, MESA, AZ 85203-1900
(480) 745-9882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22896
AZ
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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