Most Relevant Information
Provider Data
NPI Number: | 1003515552 |
Provider Name: | VALERIA TRIPP LAC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | LAC-18990 |
Most Important Dates
Enumeration Date: | 02/23/2023 |
Last Updated: | 02/23/2023 |
Provider Practice Location
3637 N 73RD AVE
PHOENIX
AZ
850334311
Practice Location Phone/Fax
Phone: | 6029036630 |
Fax: |
Provider Mailing Location
3637 N 73RD AVE
PHOENIX
AZ
850334311
Provider Mailing Phone/Fax
Phone: | 6029036630 |
Fax: |