| Authentic Journey, Llc | |
|
6909 W Ray Rd # 15-105 Chandler AZ 85226-1699 | |
| (480) 712-8201 | |
| Not Available |
| Full Name | Authentic Journey, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6909 W Ray Rd # 15-105, Chandler, Arizona |
| Authorized Official Name and Position | Violeta Huerta (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 4807128201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Authentic Journey, Llc 6909 W Ray Rd # 15-105 Chandler AZ 85226-1699 Ph: (480) 712-8201 | Authentic Journey, Llc 6909 W Ray Rd # 15-105 Chandler AZ 85226-1699 Ph: (480) 712-8201 |
| NPI Number | 1245708080 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245708080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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