Organization
TROUTMAN COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MICHAEL TROUTMAN LCSW (OWNER/CLINICAL SOCIAL WORKER)
(480) 465-9841
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD STE 113, QUEEN CREEK, AZ 85142-5994
(480) 465-9841
Mailing address
PO BOX 1972, QUEEN CREEK, AZ 85142-1842
(480) 465-9841
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-13890
AZ
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
LCSW-13890
AZ
302F00000X
Exclusive Provider Organization
LCSW-13890
AZ
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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