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Organization
PALACIOS CREW COUNSELING LLC
Active
Organization
PALACIOS CREW COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE PALACIOS LPC (OWNER)
(602) 767-3706
Entity
Organization
Contact information
Practice address
219 E LEXINGTON AVE, PHOENIX, AZ 85012-2321
(602) 767-3706
Mailing address
219 E LEXINGTON AVE, PHOENIX, AZ 85012-2321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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