| De Novo Wellness Center | |
|
7400 N Oracle Rd Suite 172 Tucson AZ 85704-6331 | |
| (520) 400-4349 | |
| Not Available |
| Full Name | De Novo Wellness Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 7400 N Oracle Rd, Tucson, Arizona |
| Authorized Official Name and Position | Somayeh Shunk (THERAPIST) |
| Authorized Official Contact | 5204004349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Novo Wellness Center 7400 N Oracle Rd Suite 172 Tucson AZ 85704-6331 Ph: () - | De Novo Wellness Center 7400 N Oracle Rd Suite 172 Tucson AZ 85704-6331 Ph: (520) 400-4349 |
| NPI Number | 1386170033 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 05/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386170033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC 14085 (Arizona) | Secondary |
| 101Y00000X | Counselor | LPC 13260 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPC 15271 (Arizona) | Primary |
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