Integrative Healing Counseling Service, Pllc | |
17505 N 79th Ave Suite 311f Glendale AZ 85308-8725 | |
(623) 277-0228 | |
Not Available |
Full Name | Integrative Healing Counseling Service, Pllc |
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Speciality | Social Worker - Clinical |
Location | 17505 N 79th Ave, Glendale, Arizona |
Authorized Official Name and Position | Sophia E Krell (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 6232770228 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrative Healing Counseling Service, Pllc 17505 N 79th Ave Suite 311f Glendale AZ 85308-8725 Ph: (623) 277-0228 | Integrative Healing Counseling Service, Pllc 17505 N 79th Ave Suite 311f Glendale AZ 85308-8725 Ph: (623) 277-0228 |
NPI Number | 1972044436 |
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Provider Enumeration Date | 03/17/2017 |
Last Update Date | 03/17/2017 |
Identifier | Type | State | Issuer |
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1972044436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW16507 (Arizona) | Primary |
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