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General NPI Number Information
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NPI Number | 1083475800
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Entity Type | Organization
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Legal Business Name | ARIZONA INTEGRATED THERAPIES PLLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 18940 N PIMA RD STE D165
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-5394
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Country | US
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Telephone | 269-762-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 7106 N VIA NUEVA
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3728
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORINNE CLANCY GRABER
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Credential | LPC
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Telephone | 269-762-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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