Willow And Ivy Counseling Services, Pllc | |
11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 | |
(623) 252-9118 | |
Not Available |
Full Name | Willow And Ivy Counseling Services, Pllc |
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Speciality | Counselor - Professional |
Location | 11201 N Tatum Blvd # 912020, Phoenix, Arizona |
Authorized Official Name and Position | Jessica D Koh (OWNER) |
Authorized Official Contact | 2066587951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Willow And Ivy Counseling Services, Pllc 11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 Ph: (623) 252-9118 | Willow And Ivy Counseling Services, Pllc 11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 Ph: (623) 252-9118 |
NPI Number | 1104509389 |
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Provider Enumeration Date | 08/14/2023 |
Last Update Date | 08/14/2023 |
Certification Date | 08/13/2023 |
Identifier | Type | State | Issuer |
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1104509389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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