| Kantrast LLC | |
|
4323 N 12th St Ste 103 Phoenix AZ 85014-4506 | |
| (602) 781-2160 | |
| (602) 296-5691 |
| Full Name | Kantrast LLC |
|---|---|
| Speciality | Counselor |
| Location | 4323 N 12th St Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Amanda Lugo (FOUNDER & CEO) |
| Authorized Official Contact | 6027811313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kantrast LLC Po Box 34053 Phoenix AZ 85067-4053 Ph: (602) 781-2160 | Kantrast LLC 4323 N 12th St Ste 103 Phoenix AZ 85014-4506 Ph: (602) 781-2160 |
| NPI Number | 1043092109 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/13/2023 |
| Certification Date | 10/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043092109 | NPI | - | NPPES |
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