Individual
ANTHONY JAMES ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 210, SURPRISE, AZ 85374-2703
(623) 202-2521
Mailing address
8836 N 65TH DR, GLENDALE, AZ 85302-4386
(602) 301-9927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC20742
AZ
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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