Individual
BRENT DOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, BHT
Contact information
Practice address
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308-8724
(602) 989-8899
(602) 900-0969
Mailing address
17505 N 79TH AVE STE 105, GLENDALE, AZ 85308-8724
(602) 989-8899
(602) 900-0969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BS
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043982747
HEALING HARTZE ORGANIZATIONAL NPI TYPE 2
AZ
05
—
125011
—
AZ
01
—
1740851542
JANUARY HARTZE OF HEALING HARTZE PLLC INDIVIDUAL NPI
AZ
01
—
CSLG13230
ARIZONA DHS
AZ
Enumeration date
01/25/2024
Last updated
03/05/2024
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