VAN EDEN CAVE

GLENDALE, AZ
NPI1063585446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LPC-2363)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- VAN EDEN CAVE MC, LPC
7075 W BELL RD SUITE 3
GLENDALE, AZ 85308-8546
Phone number: 602-485-1245
Mailing Address
-- VAN EDEN CAVE MC, LPC
20165 N 67TH AVE SUITE 122A PMB 144
GLENDALE, AZ 85308-7002
Phone number: 602-485-1245
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