| Northwest Christian Counseling, Llc | |
|
17505 N 79th Ave Suite 111-a Glendale AZ 85308-8723 | |
| (623) 680-8172 | |
| Not Available |
| Full Name | Northwest Christian Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 17505 N 79th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Chris S. Andersen (MEMBER) |
| Authorized Official Contact | 6236808172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Christian Counseling, Llc 17505 N 79th Ave Suite 111-a Glendale AZ 85308-8723 Ph: (623) 680-8172 | Northwest Christian Counseling, Llc 17505 N 79th Ave Suite 111-a Glendale AZ 85308-8723 Ph: (623) 680-8172 |
| NPI Number | 1639396443 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639396443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC11281 (Arizona) | Primary |
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