Individual
PROF. VINCENT J HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6765 W BRADSHAW DR # 695, PINE, AZ 85544-5089
(602) 980-2036
Mailing address
PO BOX 695, PINE, AZ 85544-0695
(602) 980-2036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0-702
AZ
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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