| Capriole Therapeutic Services | |
|
14510 W Shumway Dr Suite #202 Sun City West AZ 85375-5814 | |
| (623) 293-2282 | |
| (866) 920-8488 |
| Full Name | Capriole Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14510 W Shumway Dr, Sun City West, Arizona |
| Authorized Official Name and Position | Beth M Stoddard (OWNER) |
| Authorized Official Contact | 6232932282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capriole Therapeutic Services 14510 W Shumway Drive Suite #202 Sun City West AZ 85375 Ph: (623) 293-2282 | Capriole Therapeutic Services 14510 W Shumway Dr Suite #202 Sun City West AZ 85375-5814 Ph: (623) 293-2282 |
| NPI Number | 1518190255 |
|---|---|
| Provider Enumeration Date | 08/28/2009 |
| Last Update Date | 08/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518190255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10994 (Arizona) | Secondary |
| 101YP2500X | Counselor - Professional | LPC-13208 (Arizona) | Primary |
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