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Individual

MR. DON DE VALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LISAC

Contact information

Practice address
921 E MISSION DR, TEMPE, AZ 85283-4785
(480) 491-3049
Mailing address
921 E MISSION DR, TEMPE, AZ 85283-4785
(480) 491-3049

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-111813
AZ
101YP2500X
Professional Counselor
Primary
LPC-12038
AZ

Other

Enumeration date
08/03/2008
Last updated
08/03/2008
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