person
Miss Marina Chabolla, LCSW
Mental Health Counselor in Phoenix, Arizona
NPI 1528206588

Marina Chabolla is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Marina Chabolla practices in Phoenix, AZ and has the professional credentials of LCSW. The NPI Number for Marina Chabolla is 1528206588 and holds a License No. 11132 (Arizona).

The current practice location address for Marina Chabolla is 1830 E Roosevelt St, Phoenix, AZ and can be reached out via phone at 602-256-5300 and via fax at 602-256-5307.

Location: 1830 E Roosevelt St, Phoenix, AZ, 85006-3641
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Provider Profile Details
NPI Number
1528206588
Provider Name
Marina Chabolla
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
1830 E Roosevelt St, Phoenix, AZ, 85006-3641
Phone Number
602-256-5300
Fax Number
602-256-5307
Provider Enumeration Date
01/29/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
86-0841341 01 AZ FED ID# 86-0841341
institution
Provider Business Practice Location Address Details
Address
1830 E Roosevelt St
City
State
Zip
85006-3641
Phone Number
602-256-5300
Fax Number
602-256-5307
person
Provider Business Mailing Address Details
Address
1830 E Roosevelt St
City
State
Zip
85006-3641
Phone Number
602-256-5300
Fax Number
602-256-5307
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
11132 (Arizona)
Definition
Definition to come...
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