| Broken Chains Christian Counseling,inc. | |
|
8998 W Ruth Ave Peoria AZ 85345-7980 | |
| (602) 377-8324 | |
| Not Available |
| Full Name | Broken Chains Christian Counseling,inc. |
|---|---|
| Speciality | Social Worker |
| Location | 8998 W Ruth Ave, Peoria, Arizona |
| Authorized Official Name and Position | Trudy Marie Soncrant (PRESIDENT) |
| Authorized Official Contact | 6023778324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Broken Chains Christian Counseling,inc. 8998 W Ruth Ave Peoria AZ 85345-7980 Ph: (602) 377-8324 | Broken Chains Christian Counseling,inc. 8998 W Ruth Ave Peoria AZ 85345-7980 Ph: (602) 377-8324 |
| NPI Number | 1770015034 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Medicare PECOS PAC ID | 7315211513 |
|---|---|
| Medicare Enrollment ID | O20170927002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770015034 | NPI | - | NPPES |
| Provider Name | Trudy M Soncrant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295807915 PECOS PAC ID: 1658300454 Enrollment ID: I20050812000114 |
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