Organization
ORIGINS COUNSELING & SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEL ESPELAND (OWNER)
(425) 761-4282
Entity
Organization
Contact information
Practice address
2980 N CAMPBELL AVE STE 140, TUCSON, AZ 85719-2897
(425) 761-4282
Mailing address
13718 W JUNIPERO DR, SUN CITY WEST, AZ 85375-6879
(425) 761-4282
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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