Individual
QUOC LUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1837 S MESA DR STE C100, MESA, AZ 85210-6219
(510) 585-3886
Mailing address
15508 W BELL RD, STE 101, #516, SURPRISE, AZ 85374
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15986
AZ
Other
Enumeration date
06/06/2022
Last updated
04/18/2023
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