| NPI | 1639396443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS S. ANDERSEN Member 623-680-8172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC11281) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |