Individual
MR. PAUL ACE JIM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
777 W SOUTHERN AVE, MESA, AZ 85210-5008
(602) 279-5262
(541) 504-1195
Mailing address
777 W SOUTHERN AVE BLDG E, MESA, AZ 85210-5008
(602) 279-5262
(541) 504-1195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17-04-09
OR
1041C0700X
Clinical Social Worker
Primary
LCSW-22382
AZ
Other
Enumeration date
09/28/2015
Last updated
07/29/2024
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