| Cognitive Behavioral Therapy Learning Group Llc | |
|
330 E 16th St Tucson AZ 85701-2811 | |
| (520) 336-2964 | |
| Not Available |
| Full Name | Cognitive Behavioral Therapy Learning Group Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 330 E 16th St, Tucson, Arizona |
| Authorized Official Name and Position | Susan Dolence (PROVIDER) |
| Authorized Official Contact | 5204011978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Behavioral Therapy Learning Group Llc Po Box 43551 Tucson AZ 85733-3551 Ph: () - | Cognitive Behavioral Therapy Learning Group Llc 330 E 16th St Tucson AZ 85701-2811 Ph: (520) 336-2964 |
| NPI Number | 1851802706 |
|---|---|
| Provider Enumeration Date | 10/18/2017 |
| Last Update Date | 10/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851802706 | NPI | - | NPPES |
| 12906 | Other | AZ | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 12906 (Arizona) | Primary |
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