Provider Demographics
NPI:1376386573
Name:COMBS, DANA (LAC)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:COMBS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S MCCLINTOCK DR APT 1006
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5872
Mailing Address - Country:US
Mailing Address - Phone:630-299-6786
Mailing Address - Fax:
Practice Address - Street 1:3377 S PRICE RD STE 110
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-3578
Practice Address - Country:US
Practice Address - Phone:480-280-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-15
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health