Individual
MRS. JAMIE BAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
302 WEST PONDEROSA STREET, WHITE RIVER, AZ 85941
(928) 338-4858
Mailing address
302 WEST PONDEROSA DRIVE, WHITE RIVER, AZ 85941
(928) 338-4858
(928) 338-4100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
15560
AZ
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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