Organization
A-MAKING CHANGES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN JETER (OWNER)
(480) 521-4815
Entity
Organization
Contact information
Practice address
2942 N 24TH ST, SUITE 114-766, PHOENIX, AZ 85016-7844
(480) 521-4875
Mailing address
2942 N 24TH ST, SUITE 114-766, PHOENIX, AZ 85016-7844
(480) 521-4875
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/18/2016
Last updated
12/09/2020
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