Organization
QUEEN CREEK COUNSELING LLC
Active
Organization
QUEEN CREEK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA CAROL DEAN LCSW (OWNER)
(480) 258-2915
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD, B-105, QUEEN CREEK, AZ 85142-5996
(480) 258-2915
(480) 888-0231
Mailing address
PO BOX 1598, QUEEN CREEK, AZ 85142-1835
(480) 258-2915
(480) 888-0231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-2854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
752586
—
AZ
Enumeration date
02/08/2010
Last updated
02/08/2010
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