| Misty Adame Lpc | |
|
21000 N 75th Ave Glendale AZ 85308-9622 | |
| (602) 403-1988 | |
| Not Available |
| Full Name | Misty Adame Lpc |
|---|---|
| Speciality | Clinic/center |
| Location | 21000 N 75th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Misty D Adame (CHILD AND FAMILY THERAPIST) |
| Authorized Official Contact | 6024031988 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Misty Adame Lpc 21000 N 75th Ave Glendale AZ 85308-9622 Ph: (602) 403-1988 | Misty Adame Lpc 21000 N 75th Ave Glendale AZ 85308-9622 Ph: (602) 403-1988 |
| NPI Number | 1689082265 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689082265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LPC14458 (Arizona) | Primary |
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