Organization
AZ HOLISTIC ANXIETY TREATMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE GUSTAFSON APRN (PMHNP-BC)
(480) 462-5272
Entity
Organization
Contact information
Practice address
10245 E VIA LINDA STE 225, SCOTTSDALE, AZ 85258-5345
(480) 462-5272
Mailing address
1525 S HIGLEY RD STE 104, GILBERT, AZ 85296-5045
(480) 462-5272
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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