| Creosote Mental Health Group | |
|
4646 N Swan Rd Ste 105 Tucson AZ 85718-6715 | |
| (520) 307-6495 | |
| Not Available |
| Full Name | Creosote Mental Health Group |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 4646 N Swan Rd Ste 105, Tucson, Arizona |
| Authorized Official Name and Position | Chad Mosher (FOUNDER/DIRECTOR) |
| Authorized Official Contact | 5203076495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creosote Mental Health Group 1327 E Zulema Loop Tucson AZ 85706-4415 Ph: (520) 307-6495 | Creosote Mental Health Group 4646 N Swan Rd Ste 105 Tucson AZ 85718-6715 Ph: (520) 307-6495 |
| NPI Number | 1811509581 |
|---|---|
| Provider Enumeration Date | 08/23/2020 |
| Last Update Date | 08/23/2020 |
| Certification Date | 08/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811509581 | NPI | - | NPPES |
| 1053801316 | Other | AZ | GENERAL |
| 1053801316 | Medicaid | AZ |
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