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Organization

ADAME FAMILY COUNSELING & WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISTY D ADAME LPC NCC TAD (CLINICAL DIRECTOR/OWNER)
(623) 572-8053
Entity
Organization

Contact information

Practice address
21448 N 75TH AVE STE 11, GLENDALE, AZ 85308-5978
(623) 572-8053
Mailing address
21448 N 75TH AVE STE 11, GLENDALE, AZ 85308-5978
(623) 572-8053

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-14458
AZ

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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