| Wild Willow Counseling, Pllc | |
|
4625 S Lakeshore Dr Tempe AZ 85282-7127 | |
| (623) 777-9696 | |
| Not Available |
| Full Name | Wild Willow Counseling, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4625 S Lakeshore Dr, Tempe, Arizona |
| Authorized Official Name and Position | Christina Kennedy (FOUNDER, PSYCHOTHERAPIST) |
| Authorized Official Contact | 6237779696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild Willow Counseling, Pllc 4625 S Lakeshore Dr Tempe AZ 85282-7127 Ph: (623) 777-9696 | Wild Willow Counseling, Pllc 4625 S Lakeshore Dr Tempe AZ 85282-7127 Ph: (623) 777-9696 |
| NPI Number | 1295460566 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295460566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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