Individual
MRS. GABRIELLA HELAINE-WOLF MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC
Contact information
Practice address
3411 N 5TH AVE, #209, PHOENIX, AZ 85013-3811
(602) 550-0591
Mailing address
PO BOX 22269, PHOENIX, AZ 85028-0269
(602) 550-0591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-12649
AZ
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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