| Micaela Wamboldt | |
|
501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 | |
| (623) 252-0862 | |
| Not Available |
| Full Name | Micaela Wamboldt |
|---|---|
| Speciality | Counselor |
| Location | 501 E Plaza Cir Ste 5, Litchfield Park, Arizona |
| Authorized Official Name and Position | Micaela Wamboldt (LPC) |
| Authorized Official Contact | 6232520862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Micaela Wamboldt 501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 Ph: (623) 252-0862 | Micaela Wamboldt 501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 Ph: (623) 252-0862 |
| NPI Number | 1548882400 |
|---|---|
| Provider Enumeration Date | 05/14/2020 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548882400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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