Individual
REBECCA TESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043982747
HEALING HARTZE ORGANIZATIONAL NPI
AZ
05
—
125011
—
AZ
01
—
1740851542
JANUARY HARTZE INDIVIDUAL NPI
AZ
01
—
CSLG13230
ARIZONA DEPARTMENT OF HEALTH SERVICES
AZ
Enumeration date
09/22/2023
Last updated
03/13/2024
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