Organization
MY THERAPIST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA L BRADLEY BATES MED LPC LISAC (PRESIDENT OF MY THERAPIST INC)
(480) 205-0062
Entity
Organization
Contact information
Practice address
2435 E SOUTHERN AVE, STE 2, TEMPE, AZ 85282
(480) 205-0062
(480) 775-2789
Mailing address
2435 E SOUTHERN AVE, STE 2, TEMPE, AZ 85282
(480) 205-0062
(480) 775-2789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC0052
AZ
106H00000X
Marriage & Family Therapist
Primary
LPC0757
AZ
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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