Individual
MR. WENDELL TRAVIS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1825 E NORTHERN AVE STE 200, PHOENIX, AZ 85020-3972
(602) 997-2880
Mailing address
1825 E NORTHERN AVE STE 200, PHOENIX, AZ 85020-3972
(602) 997-2880
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12032
AZ
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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