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Organization
EMBRACE THE CHANGE COUNSELING SERVICES, LLC
Active
Organization
EMBRACE THE CHANGE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM DAUGHENBAUGH JR. LISAC (ADMINISTRATOR)
(026) 730-5206
Entity
Organization
Contact information
Practice address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(602) 730-5206
Mailing address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(602) 730-5206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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