| NPI | 1518747484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN KETTERLING Owner 623-377-4737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |