Individual
JOSE GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1655 E UNIVERSITY DR, MESA, AZ 85203-8169
(480) 969-6955
(480) 898-0705
Mailing address
PO BOX 5860, MESA, AZ 85211-5860
(480) 969-6955
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 12113
AZ
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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