| NPI | 1124499249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CORONADO Owner/Counselor 520-370-4731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-15259) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-10-18 |