Ciezkowski, Tina M

Ciezkowski, Tina M is an sole proprietor health care provider with primary practice located at 3751 E Portola Valley Dr , Gilbert AZ 85297-7876. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Group Psychotherapy is her primary health care specialty. Ciezkowski, Tina M can be contacted via phone (516) 376-1099.

Contact Information

Primary practice address
3751 E Portola Valley Dr Gilbert AZ 85297-7876
Phone: (516) 376-1099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X Arizona
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X Arizona

Profile Details

NPI number 1871258871
LBN Legal business name Ciezkowski, Tina M
Credentials L.P.C.M.H
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2021
Last updated Nov 4th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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