| Northlight Counseling Associates Of Arizona | |
|
4121 E Valley Auto Dr Mesa AZ 85206-4631 | |
| (704) 506-6267 | |
| Not Available |
| Full Name | Northlight Counseling Associates Of Arizona |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4121 E Valley Auto Dr, Mesa, Arizona |
| Authorized Official Name and Position | Leslie Johnson (CEO) |
| Authorized Official Contact | 7045066267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlight Counseling Associates Of Arizona 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (704) 506-6267 | Northlight Counseling Associates Of Arizona 4121 E Valley Auto Dr Mesa AZ 85206-4631 Ph: (704) 506-6267 |
| NPI Number | 1942070370 |
|---|---|
| Provider Enumeration Date | 01/05/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942070370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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