| Willow And Ivy Counseling Services, Pllc | |
|
11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 | |
| (623) 252-9118 | |
| Not Available |
| Full Name | Willow And Ivy Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11201 N Tatum Blvd # 912020, Phoenix, Arizona |
| Authorized Official Name and Position | Jessica D Koh (OWNER) |
| Authorized Official Contact | 2066587951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Willow And Ivy Counseling Services, Pllc 11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 Ph: (623) 252-9118 | Willow And Ivy Counseling Services, Pllc 11201 N Tatum Blvd # 912020 Phoenix AZ 85028-6036 Ph: (623) 252-9118 |
| NPI Number | 1104509389 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104509389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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