Organization
DEL SOUL COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MAY KOWALKE PSYD (OWNER)
(623) 261-8770
Entity
Organization
Contact information
Practice address
15396 N 83RD AVE STE G103, PEORIA, AZ 85381-5629
(602) 785-2449
(602) 785-2449
Mailing address
PO BOX 5231, PEORIA, AZ 85385-5231
(602) 785-2449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4545
AZ
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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