Individual
TAMMY MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
4450 S RURAL RD, SUITE E-125, TEMPE, AZ 85282-7037
(480) 659-8245
(480) 471-8186
Mailing address
4450 S RURAL RD, TEMPE, AZ 85282-7037
(480) 659-8245
(480) 471-8186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11856
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-13296
AZ
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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