Organization
EMBRACE THE CHANGE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM DAUGHENBAUGH JR. LISAC (ADMINISTRATOR)
(026) 730-5206
Entity
Organization
Contact information
Practice address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(602) 730-5206
Mailing address
3420 E SHEA BLVD STE 200, PHOENIX, AZ 85028-3348
(602) 730-5206
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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