Individual
CHRISTOPHER SCOTT CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
13260 N 94TH DR STE 100, PEORIA, AZ 85381-4242
(623) 487-7763
Mailing address
PO BOX 7296, SURPRISE, AZ 85374-0104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18494
AZ
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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