Individual
PEARL JANEPHER MUGISHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2034 E SOUTHERN AVE STE U, TEMPE, AZ 85282-7519
(858) 905-1164
Mailing address
7663 W FLYNN LN, GLENDALE, AZ 85303-2941
(858) 905-1164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSLG13087
AZ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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