| |
7307 S Harl Ave Ste 6 Tempe AZ 85283-4367 | |
(480) 752-7992 | |
(480) 422-4450 |
Full Name | |
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Speciality | Counselor - Pastoral |
Location | 7307 S Harl Ave Ste 6, Tempe, Arizona |
Authorized Official Name and Position | James A. Laine (DIRECTOR) |
Authorized Official Contact | 4807527992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7307 S Harl Ave Ste 6 Tempe AZ 85283-4367 Ph: (480) 752-7992 | 7307 S Harl Ave Ste 6 Tempe AZ 85283-4367 Ph: (480) 752-7992 |
NPI Number | 1003972241 |
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Provider Enumeration Date | 12/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003972241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP1600X | Counselor - Pastoral | (* (Not Available)) | Primary |
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