Organization
PSYCHOLOGICAL COUNSELING SERVICES
Active
Other names
Psychological Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS EARLE PHD (CLINICAL DIRECTOR)
(480) 947-5739
Entity
Organization
Contact information
Practice address
14815 E LOOKOUT LEDGE, FOUNTAIN HILLS, AZ 85268-6408
(480) 236-6682
Mailing address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5379
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
10982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10915
LISAC
AZ
01
—
10982
LPC
AZ
Enumeration date
06/03/2007
Last updated
08/22/2020
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