Individual
WILLIAM SOBANUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9118 W SELLS DR, PHOENIX, AZ 85037-0805
(623) 248-4680
Mailing address
9118 W SELLS DR, PHOENIX, AZ 85037-0805
(623) 248-4680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH7189
—
AZ
Enumeration date
04/25/2022
Last updated
04/25/2022
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