| NPI | 1508308776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA KINNAMAN Licensed Professional Counselor 623-252-2737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-14261) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |