Gateway Marriage And Family Therapy, Llc

NPI 1003209479 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1003209479
Enumeration Date 03/10/2015
Last Updated 03/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CALLEEN ANTOINETTE CALLEEN
Position CLINICAL SUPERVISOR
Phone (480) 420-7061
Fax
Practice Location
690 E WARNER RD
BLDG 10, STE# 152
GILBERT AZ, 85296-3054, US
Phone (480) 420-7061
Fax
Business Location
690 E WARNER RD
BLDG 10, STE# 152
GILBERT AZ, 85296-3054, US
Phone (480) 420-7061
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Arizona
License Number LMFT-10408
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According to our database, Gateway Marriage And Family Therapy, Llc NPI is 1003209479, taxonomy code is 106H00000X and license number is LMFT-10408, license state is located at Arizona. Gateway Marriage And Family Therapy, Llc physically located at 690 E Warner Rd, Gilbert AZ, 85296-3054. NPI Number 1033115704 has the healthcare provider type.

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1003209479 NPI number is provided on an as is basis without warranty of any kind. 1003209479 is maintained by the National Plan & Provider Enumeration System. The contents of Gateway Marriage And Family Therapy, Llc are for informational purposes only.