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Blooming Clematis Therapy & Consulting LLC

Marriage & Family Therapist in Chandler, AZ. Organization (NPI-2).

NPI number1558055152
StatusActive
Last updated in NPPESJun 6, 2023

Details

NPI
1558055152
Entity type
Organization (NPI-2)
Legal business name
Blooming Clematis Therapy & Consulting LLC
Organization subpart
No
Enumeration date
Jun 6, 2023
Certification date
Jun 6, 2023
Last updated
Jun 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist––Yes
1041C0700X Social Worker, Clinical––

Practice location

2214 W Los Arboles Pl
Chandler, AZ 85224-2143

Phone 480-340-1236

Mailing address

Po Box 8130
Chandler, AZ 85246-8130

Phone 480-340-1236

Authorized official

Vicki Davis
Credentialing Manager
6026095255

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