ANTHONY JAMES ERVIN

SURPRISE, AZ
NPI1750116620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC20742)
Enumeration Date2024-09-03
Last Update Date2024-09-03
Business Address
ANTHONY JAMES ERVIN
14800 W MOUNTAIN VIEW BLVD STE 210
SURPRISE, AZ 85374-2703
Phone number: 623-202-2521
Mailing Address
ANTHONY JAMES ERVIN
8836 N 65TH DR
GLENDALE, AZ 85302-4386
Phone number: 602-301-9927