Organization
STRAIGHT AHEAD COUNSLING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO ARIEL KUSAK MA, LAC (COUNSELOR)
(480) 271-4961
Entity
Organization
Contact information
Practice address
3573 S 158TH PL BLDG B, GILBERT, AZ 85297-2046
(480) 271-4961
Mailing address
3573 S 158TH PL BLDG B, GILBERT, AZ 85297-2046
(480) 271-4961
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326547282
—
AZ
Enumeration date
05/28/2019
Last updated
05/28/2019
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