Organization
ARIZONA PEER ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE MARDULA MS LPC (PARTNER/PROVIDER)
(623) 606-7994
Entity
Organization
Contact information
Practice address
17404 N JAVELINA DR, SURPRISE, AZ 85374-2955
(623) 606-7994
Mailing address
17404 N JAVELINA DR, SURPRISE, AZ 85374-2955
(623) 606-7994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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