Individual
REBECCA CHALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
738 S CHATSWORTH, MESA, AZ 85208-7159
(602) 743-1544
Mailing address
738 S CHATSWORTH, MESA, AZ 85208-7159
(602) 743-1544
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-22456
AZ
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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