Individual provider · Type 1 NPI

Angie Mortemore

Mental Health Counselor · Phoenix, AZ

NPI number 1205063997 Active

Practice location

3306 W Catalina Dr
Phoenix, AZ 85017-5291

Mailing address

4747 N 7th St, Ste. 100
Phoenix, AZ 85014-3653

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205063997

Angie Mortemore's National Provider Identifier is 1205063997, issued on Jun 19, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 19, 2009.