# RANCHO DEL PACIFICO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831696756
- **Authorized official:** MS. JENNIFER SIOZOS LPC (OWNER/THERAPIST)
- **Authorized official phone:** (480) 682-7113

## Contact information

- **Practice address:** 3125 S PRICE RD OFC 19, CHANDLER, AZ 85248-3547
- **Practice address phone:** (480) 802-8059
- **Practice address fax:** (480) 800-2312
- **Mailing address:** 3125 S PRICE RD OFC 19120, CHANDLER, AZ 85248-3547
- **Mailing address phone:** (480) 802-8059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2018
- **Last updated:** 04/29/2019