Organization
ARIZONA CENTER FOR INNOVATIVE STRESS & TRAUMA TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORMA MAGDALENO DBH, LCSW (CLINICAL DIRECTOR/THERAPIST)
(520) 444-9138
Entity
Organization
Contact information
Practice address
2913 E 22ND ST, TUCSON, AZ 85713-2001
(520) 303-1697
(520) 347-3959
Mailing address
2913 E 22ND ST, TUCSON, AZ 85713-2001
(520) 303-1697
(520) 347-3959
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-11577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
456065
—
AZ
Enumeration date
01/19/2016
Last updated
05/03/2024
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