Individual
DEBORAH POULSEN-MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1745 S ALMA SCHOOL RD STE 230, MESA, AZ 85210-3013
(480) 668-8301
Mailing address
4040 E MCLELLAN RD UNIT 3, MESA, AZ 85205-3105
(480) 678-9537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17724
AZ
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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