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Individual

TYANA C HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
14040 N CAVE CREEK RD STE 108, PHOENIX, AZ 85022-6117
(602) 358-7073
(888) 927-0409
Mailing address
6635 W HAPPY VALLEY RD STE A104-621, GLENDALE, AZ 85310-2609
(602) 358-7073
(888) 927-0409

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22021
AZ

Other

Enumeration date
04/25/2023
Last updated
04/25/2023
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