Individual
TODD VINCENT OBERMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 E BASELINE RD STE C3, TEMPE, AZ 85283-1521
(480) 718-1261
Mailing address
6013 E EVERGREEN ST, MESA, AZ 85205-5932
(602) 931-6337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-15615
AZ
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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