| In One Peace Llc | |
|
6810 E Broadway Blvd Suite 102 Tucson AZ 85710-2838 | |
| (520) 302-4116 | |
| Not Available |
| Full Name | In One Peace Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 6810 E Broadway Blvd, Tucson, Arizona |
| Authorized Official Name and Position | Jessica Dorland (MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 5203024116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| In One Peace Llc 6810 E Broadway Blvd Suite 102 Tucson AZ 85710-2838 Ph: (520) 302-4116 | In One Peace Llc 6810 E Broadway Blvd Suite 102 Tucson AZ 85710-2838 Ph: (520) 302-4116 |
| NPI Number | 1356748222 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356748222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-14423 (Arizona) | Primary |
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