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Organization
HEALING HOPE COUNSELING SERVICES, LLC
Active
Organization
HEALING HOPE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASCELYN ANN REVLAND LPC (SOLE MEMBER)
(214) 598-0529
Entity
Organization
Contact information
Practice address
2060 W WHISPERING WIND DR, SUITE 274, PHOENIX, AZ 85085-2867
(623) 428-9137
Mailing address
19632 N 3RD AVE, PHOENIX, AZ 85027-4747
(214) 598-0529
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
62500
TX
305R00000X
Preferred Provider Organization
Primary
LPC15253
AZ
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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