Therese Dautheribes M.C.

NPI 1902956592 - Counselor - 101YP2500X

NPI Details
NPI 1902956592
Gender Female
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
13838 S 46TH PL
STE 110
PHOENIX AZ, 85044-7800, US
Phone (480) 831-9895
Fax (480) 763-1352
Business Location
PO BOX 50386
PHOENIX AZ, 85076-0386, US
Phone (480) 831-9895
Fax (480) 763-1352
Toxanomy
Taxonomy Code 101YP2500X
License State Arizona
License Number LPC-2032
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According to our database, Therese Dautheribes M.C. NPI is 1902956592, taxonomy code is 101YP2500X and license number is LPC-2032, license state is located at Arizona. Therese Dautheribes M.C. physically located at 13838 S 46th Pl, Phoenix AZ, 85044-7800. NPI Number Therese Dautheribes M.C. has the Individual type.

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1902956592 NPI number is provided on an as is basis without warranty of any kind. 1902956592 is maintained by the National Plan & Provider Enumeration System. The contents of Therese Dautheribes M.C. are for informational purposes only.