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Organization

GLENDALE THERAPY ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CAROL GEGENHEIMER PHD (MEMBER)
(602) 938-3323
Entity
Organization

Contact information

Practice address
17100 N 67TH AVE STE 400, GLENDALE, AZ 85308-3698
(602) 938-3323
(602) 938-1626
Mailing address
17100 N 67TH AVE STE 400, GLENDALE, AZ 85308-3698
(602) 938-3323
(602) 938-1626

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
02/22/2016
Last updated
02/22/2016
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