| Fuller Theological Seminary | |
|
1110 E Missouri Ave Ste 850 Phoenix AZ 85014-2733 | |
| (602) 613-1725 | |
| Not Available |
| Full Name | Fuller Theological Seminary |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1110 E Missouri Ave Ste 850, Phoenix, Arizona |
| Authorized Official Name and Position | Ted Cosse (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8189393280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Theological Seminary 155 S De Lacey Ave Apt 1004 Pasadena CA 91105-4521 Ph: (818) 939-3280 | Fuller Theological Seminary 1110 E Missouri Ave Ste 850 Phoenix AZ 85014-2733 Ph: (602) 613-1725 |
| NPI Number | 1831979087 |
|---|---|
| Provider Enumeration Date | 10/04/2023 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831979087 | NPI | - | NPPES |
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