Organization
IGNITE COUNSELING AND EQUINE PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN WILSON LAC (OWNER)
(480) 271-5129
Entity
Organization
Contact information
Practice address
28475 N 84TH ST, SCOTTSDALE, AZ 85266-2265
(480) 271-5129
Mailing address
4314 E ROSEMONTE DR, PHOENIX, AZ 85050-3346
(480) 271-5129
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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