IVY MARE PHOENIX

WEST VALLEY CITY, UT
NPI1225668668
Former NameETTA IVYN CHAVEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: UT  11772649-6004)
Enumeration Date2020-01-24
Last Update Date2024-08-31
Business Address
IVY MARE PHOENIX CMHC
2965 W 3500 S
WEST VALLEY CITY, UT 84119-3602
Phone number: 801-965-3608
Mailing Address
IVY MARE PHOENIX CMHC
1375 N SCOTTSDALE RD STE 200
SCOTTSDALE, AZ 85257-3429
Phone number: 480-877-9284