Organization
AWAKENING CHRYSALIS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHONNA WOO MA LAC MS LIAC (BHP/CLINICAL DIRECTOR)
(520) 280-6272
Entity
Organization
Contact information
Practice address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(520) 280-6272
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(520) 280-6272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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