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Organization

CLEARFIRE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICAELA WAMBOLDT (LPC)
(480) 757-5885
Entity
Organization

Contact information

Practice address
1904 W PARKSIDE LN, PHOENIX, AZ 85027-1228
(480) 757-5885
Mailing address
13353 W LARIAT LN, PEORIA, AZ 85383-5973
(480) 757-5885

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171400000X
Health & Wellness Coach

Other

Enumeration date
08/28/2024
Last updated
10/07/2024
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