Individual provider · Type 1 NPI

Alfhonso Tracey Havatone, LCSW-11476

Mental Health Counselor · Scottsdale, AZ

NPI number 1114279114 Active

Practice location

10005 E Osborn Rd
Scottsdale, AZ 85256-4019

Fax (480) 362-7586

Mailing address

11445 N 39th Ln
Phoenix, AZ 85029-3003

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-11476 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1114279114

Alfhonso Tracey Havatone, LCSW-11476's National Provider Identifier is 1114279114, issued on Oct 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Scottsdale, AZ. The record was last updated on Oct 15, 2012.