Clearfire Counseling, Pllc | |
13353 W Lariat Ln Peoria AZ 85383-5973 | |
(623) 252-0862 | |
Not Available |
Full Name | Clearfire Counseling, Pllc |
---|---|
Speciality | Counselor - Mental Health |
Location | 13353 W Lariat Ln, Peoria, Arizona |
Authorized Official Name and Position | Micaela Wamboldt (OWNER) |
Authorized Official Contact | 6232520862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clearfire Counseling, Pllc 13353 W Lariat Ln Peoria AZ 85383-5973 Ph: () - | Clearfire Counseling, Pllc 13353 W Lariat Ln Peoria AZ 85383-5973 Ph: (623) 252-0862 |
NPI Number | 1023860475 |
---|---|
Provider Enumeration Date | 04/01/2024 |
Last Update Date | 04/01/2024 |
Certification Date | 04/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023860475 | NPI | - | NPPES |
1114582772 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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