Organization
COUNSEL CONNECT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA K SCHABATKA MA (LPC)
(415) 840-6822
Entity
Organization
Contact information
Practice address
17100 N 67TH AVE STE 400, GLENDALE, AZ 85308-3698
(415) 840-6822
Mailing address
21397 N 71ST DR, GLENDALE, AZ 85308-9552
(415) 840-6822
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/30/2021
Last updated
09/30/2021
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