Organization
CHRIS MESHULA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER M MESHULA LPC (LICENSED PROFESSIONAL COUNSELOR)
(813) 758-5770
Entity
Organization
Contact information
Practice address
90 S KYRENE RD, STE 4, CHANDLER, AZ 85226-4687
(813) 758-5770
Mailing address
117 E GENEVA DR, TEMPE, AZ 85282-3638
(813) 758-5770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC-15865
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L20574931
LLC
AZ
Enumeration date
02/04/2016
Last updated
02/04/2016
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