| Aj Southwest Ventures Inc | |
|
3920 S Rural Rd Ste 112 Tempe AZ 85282-5500 | |
| (480) 674-9220 | |
| (480) 674-9231 |
| Full Name | Aj Southwest Ventures Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3920 S Rural Rd Ste 112, Tempe, Arizona |
| Authorized Official Name and Position | Allyson Fernstrom (OWNER) |
| Authorized Official Contact | 6025023806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aj Southwest Ventures Inc 3920 S Rural Rd Ste 112 Tempe AZ 85282-5500 Ph: (480) 674-9220 | Aj Southwest Ventures Inc 3920 S Rural Rd Ste 112 Tempe AZ 85282-5500 Ph: (480) 674-9220 |
| NPI Number | 1164233417 |
|---|---|
| Provider Enumeration Date | 01/16/2025 |
| Last Update Date | 02/18/2025 |
| Certification Date | 02/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164233417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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