Arizona Counseling Resources
Counselor, Professional in Peoria, AZ. Organization (NPI-2).
NPI number1104836634
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1104836634
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Counseling Resources
- Organization subpart
- No
- Enumeration date
- Aug 8, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LPC-0331 | AZ | Yes |
Practice location
10559 N 99th AvePeoria, AZ 85345-5413
Phone 623-974-0357 · Fax 623-974-0399
Mailing address
10559 N 99th AvePeoria, AZ 85345-5413
Phone 623-974-0357
Authorized official
Burdette O Leikvoll
Owner
6239740357
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