Ridgeline Practice | |
4625 N Broadway Suite 105 Tucson AZ 85711 | |
(423) 802-8414 | |
Not Available |
Full Name | Ridgeline Practice |
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Speciality | Counselor - Mental Health |
Location | 4625 N Broadway, Tucson, Arizona |
Authorized Official Name and Position | Carly Moss (OWNER) |
Authorized Official Contact | 4238028414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ridgeline Practice 7712 N Red Wing Pl Tucson AZ 85741-1331 Ph: (423) 802-8414 | Ridgeline Practice 4625 N Broadway Suite 105 Tucson AZ 85711 Ph: (423) 802-8414 |
NPI Number | 1356959951 |
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Provider Enumeration Date | 07/20/2020 |
Last Update Date | 07/20/2020 |
Certification Date | 07/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356959951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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