Organization
AZ COHERENCE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SEAN KEEGAN (OWNER/OPERATOR)
(623) 326-4681
Entity
Organization
Contact information
Practice address
10451 W PALMERAS DR STE 105, SUN CITY, AZ 85373-2067
(623) 326-4681
Mailing address
10451 W PALMERAS DR STE 105, SUN CITY, AZ 85373-2067
(623) 326-4681
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14194
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
815157294
—
AZ
Enumeration date
12/20/2017
Last updated
03/17/2018
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