Individual
TIANNA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-20710
AZ
Other
Enumeration date
10/06/2017
Last updated
01/14/2024
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