Individual
FERNANDO DELUCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1107 E TONTO ST, PHOENIX, AZ 85034-4032
(602) 793-5891
Mailing address
1107 E TONTO ST, PHOENIX, AZ 85034-4032
(602) 241-6656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17249
AZ
101YP2500X
Professional Counselor
15425
AZ
Other
Enumeration date
09/11/2015
Last updated
01/09/2024
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