| NPI | 1386170033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOMAYEH SHUNK Therapist 520-400-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AZ LPC 15271) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC 14085) |
| 101Y00000X Counselor (Licence: AZ LPC 13260) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |