NORTHWEST CHRISTIAN COUNSELING LLC NPI 1639396443

NPI Information

  • NPI: 1639396443
  • Provider Name: NORTHWEST CHRISTIAN COUNSELING, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • CLIA Number: 03D1067764
  • Address: 17505 N 79TH AVE
    SUITE 111-A
    GLENDALE, AZ
    ZIP 85308
  • Phone: (623) 680-8172

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NPI Details

NORTHWEST CHRISTIAN COUNSELING, LLC is a professional counselor in Glendale, AZ. NORTHWEST CHRISTIAN COUNSELING, LLC NPI is 1639396443. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17505 N 79TH AVE
SUITE 111-A
GLENDALE, AZ
ZIP 85308-723
Phone: (623) 680-8172

The provider's authorized official is Chris S. Andersen .
The authorized official title is Member and has the following contact phone number (623) 680-8172.

The CLIA number assigned to this NPI record is 03D1067764 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalLPC11281ARIZONAYes

What is NPI?

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This page was last updated on: 3/30/2025

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