Organization
LIFELINE PROFESSIONAL COUNSELING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANNE DALTOS PHD (PRES.)
(480) 641-1165
Entity
Organization
Contact information
Practice address
335 N. ALMA SCHOOL RD, STE E, CHANDLER, AZ 85224
(480) 641-1165
(480) 641-9026
Mailing address
335 N. ALMA SCHOOL RD, STE E, CHANDLER, AZ 85224
(480) 641-1165
(480) 641-9026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
OTC6153
AZ
Other
Enumeration date
10/15/2007
Last updated
05/27/2020
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