Individual
MR. DUSTIN JOHN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC, NCC
Contact information
Practice address
515 W WILLETTA ST, PHOENIX, AZ 85003-1203
(602) 451-5549
Mailing address
515 W WILLETTA ST, PHOENIX, AZ 85003-1203
(602) 451-5549
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13750
AZ
Other
Enumeration date
10/03/2011
Last updated
08/21/2013
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