Organization
PSYCHOLOGICAL COUNSELING SERVICES
Active
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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