Organization
ARIZONA COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE LEA LORE LCSW (OWNER/ THERAPIST)
(480) 818-7117
Entity
Organization
Contact information
Practice address
5418 E SKYLINE DR BLDG 1, SAN TAN VALLEY, AZ 85140-9000
(480) 818-7117
(480) 987-9252
Mailing address
270 E HUNT HWY, SUITE 16, PMB 144, SAN TAN VALLEY, AZ 85143-4962
(480) 818-7117
(480) 987-9252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-12587
AZ
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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