Cactus Blossom Counseling, Pllc | |
1616 W Germann Rd Apt 2019 Chandler AZ 85286-6984 | |
(480) 712-7763 | |
Not Available |
Full Name | Cactus Blossom Counseling, Pllc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 1616 W Germann Rd Apt 2019, Chandler, Arizona |
Authorized Official Name and Position | Dawn Marie Marchak-cundy (OWNER) |
Authorized Official Contact | 4807127763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cactus Blossom Counseling, Pllc 1900 W Chandler Blvd Ste 15-219 Chandler AZ 85224-6211 Ph: (480) 712-7763 | Cactus Blossom Counseling, Pllc 1616 W Germann Rd Apt 2019 Chandler AZ 85286-6984 Ph: (480) 712-7763 |
NPI Number | 1659986636 |
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Provider Enumeration Date | 09/15/2020 |
Last Update Date | 09/15/2020 |
Certification Date | 09/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659986636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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