Micaela Wamboldt | |
501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 | |
(623) 252-0862 | |
Not Available |
Full Name | Micaela Wamboldt |
---|---|
Speciality | Counselor |
Location | 501 E Plaza Cir Ste 5, Litchfield Park, Arizona |
Authorized Official Name and Position | Micaela Wamboldt (LPC) |
Authorized Official Contact | 6232520862 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Micaela Wamboldt 501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 Ph: (623) 252-0862 | Micaela Wamboldt 501 E Plaza Cir Ste 5 Litchfield Park AZ 85340-4909 Ph: (623) 252-0862 |
NPI Number | 1548882400 |
---|---|
Provider Enumeration Date | 05/14/2020 |
Last Update Date | 03/13/2023 |
Certification Date | 03/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548882400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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