Organization
INTEGRATIVE HEALING COUNSELING SERVICE, PLLC
Active
Organization
INTEGRATIVE HEALING COUNSELING SERVICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA E KRELL LCSW (OWNER/PSYCHOTHERAPIST)
(623) 277-0228
Entity
Organization
Contact information
Practice address
17505 N 79TH AVE, SUITE 311F, GLENDALE, AZ 85308-8725
(623) 277-0228
Mailing address
17505 N 79TH AVE, SUITE 311F, GLENDALE, AZ 85308-8725
(623) 277-0228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW16507
AZ
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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