Organization
TRAUMACARE INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHANE LUCK LPC (OWNER/MANAGER)
(480) 510-6780
Entity
Organization
Contact information
Practice address
61 WEST CENTER STREET, SNOWFLAKE, AZ 85937
(480) 510-6780
Mailing address
2638 OLD SCHOOLHOUSE ROAD, SHOW LOW, AZ 85901
(480) 510-6780
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15864
AZ
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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