| 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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