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Mental Health Counselor · Glendale, AZ

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At a glance

6805 N 81St Ave Bldg B, Glendale, AZ 85303-2807

NPPES record updated Sep 19, 2025. Public records can lag behind changes at a practice.

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Practice location

6805 N 81St Ave Bldg B
Glendale, AZ 85303-2807

Professional details: NPI, taxonomy & registry record

NPI1619574134

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Registry details

Primary taxonomy: Mental Health Counselor
Taxonomy code: 101YM0800X
Enumeration date: Oct 7, 2020
Record updated: Sep 19, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Mental Health Counselor

101YM0800X · Primary

Specialty details in registry

103TC1900X

Specialty details in registry

171M00000X

Psychiatry

2084P0800X

Specialty details in registry

363LP0808X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

6805 N 81St Ave Bldg B
Glendale, AZ 85303-2807

Phone: (623) 435-0900

Mailing address

8380 W EMILE ZOLA AVE # 6178

PEORIA, AZ 853819998

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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