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Organization
JEREMIAH 29:11 COUNSELING SERVICES LLC
Active
Organization
JEREMIAH 29:11 COUNSELING SERVICES LLC
Active
Other names
Jeremiah 2911 Counseling Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRADY SMITH NP (NP/OWNER)
(206) 291-5998
Entity
Organization
Contact information
Practice address
1 N MACDONALD STE B19, MESA, AZ 85201-7339
(206) 291-5998
Mailing address
1 N MACDONALD STE B19, MESA, AZ 85201-7339
(206) 291-5998
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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