Organization
W6 RANCH COUNSELING SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA SMITH WILLIAMS (CHIEF ADMINISTRATIVE OFFICER)
(520) 560-9705
Entity
Organization
Contact information
Practice address
810 N SUNSHINE BLVD, CASA GRANDE, AZ 85194-6954
(520) 560-9705
(520) 723-3435
Mailing address
810 N SUNSHINE BLVD, CASA GRANDE, AZ 85194-6954
(520) 560-9705
(520) 723-3435
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
OTC6251
AZ
101YM0800X
Mental Health Counselor
Primary
OTC6251
AZ
101YP2500X
Professional Counselor
OTC6251
AZ
103TC1900X
Counseling Psychologist
OTC6251
AZ
103TH0100X
Health Service Psychologist
OTC6251
AZ
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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