| Tempe Trails Llc | |
|
538 W 17th St Tempe AZ 85281-6514 | |
| (480) 747-8703 | |
| Not Available |
| Full Name | Tempe Trails Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 538 W 17th St, Tempe, Arizona |
| Authorized Official Name and Position | Brenton Wejrowski (OWNER) |
| Authorized Official Contact | 4807478703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tempe Trails Llc 538 W 17th St Tempe AZ 85281-6514 Ph: (480) 747-8703 | Tempe Trails Llc 538 W 17th St Tempe AZ 85281-6514 Ph: (480) 747-8703 |
| NPI Number | 1386403053 |
|---|---|
| Provider Enumeration Date | 03/15/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386403053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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