Individual
MR. ARCHIMEDES MARCELO AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1415 N TREKELL RD, SUITE 203, CASA GRANDE, AZ 85222-2832
(480) 262-7722
Mailing address
1015 W 19TH ST, TEMPE, AZ 85281-6425
(480) 967-1235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12326
AZ
Other
Enumeration date
08/31/2006
Last updated
06/12/2008
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