| Growing A Bonsai | |
|
1320 E Highland Ave Apt 14 Phoenix AZ 85014-3733 | |
| (480) 213-4463 | |
| Not Available |
| Full Name | Growing A Bonsai |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1320 E Highland Ave Apt 14, Phoenix, Arizona |
| Authorized Official Name and Position | Ryan A Barclay (OWNER) |
| Authorized Official Contact | 4802134463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing A Bonsai 1934 E Camelback Rd # 120-512 Phoenix AZ 85016-4126 Ph: () - | Growing A Bonsai 1320 E Highland Ave Apt 14 Phoenix AZ 85014-3733 Ph: (480) 213-4463 |
| NPI Number | 1366038044 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 01/25/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366038044 | NPI | - | NPPES |
| 1124636030 | Other | CMS-NPI (RYAN BARCLAY, LPC) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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