Individual
CLARISA FUJIWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3747 N 24TH ST, PHOENIX, AZ 85016-6510
(520) 440-8175
Mailing address
4808 N 24TH ST UNIT 1504, PHOENIX, AZ 85016-9118
(520) 440-8175
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC- 14281
AZ
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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