Organization
PREMIER TRAUMA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SIEFFERT DC (PARTNER)
(480) 272-8944
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
(480) 272-8944
Mailing address
4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
(480) 272-8944
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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