Organization
ABSTAIN COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD NAEEM (MANAGER CREDENTIALING)
(720) 446-6888
Entity
Organization
Contact information
Practice address
8330 N 19TH AVE APT 3083, PHOENIX, AZ 85021-5281
(239) 745-2517
Mailing address
8330 N 19TH AVE APT 3083, PHOENIX, AZ 85021-5281
(239) 745-2517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/10/2022
Last updated
01/13/2022
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