Individual
CRECHE TUFFLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
64 S PARKWOOD CIR, MESA, AZ 85208-8633
(480) 284-2128
Mailing address
64 S PARKWOOD CIR, MESA, AZ 85208-8633
(480) 284-2128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-13957
AZ
101YP2500X
Professional Counselor
Primary
LPC-13957
AZ
Other
Enumeration date
06/06/2012
Last updated
02/13/2024
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