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Organization

ARIZONA COUNSELING AND THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH J FLACK MBA (OWNER/CEO)
(602) 214-6680
Entity
Organization

Contact information

Practice address
5040 E SHEA BLVD STE 252, SCOTTSDALE, AZ 85254-4687
(602) 905-8893
Mailing address
5040 E SHEA BLVD STE 252, SCOTTSDALE, AZ 85254-4687

Taxonomy

Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary

Other

Enumeration date
05/27/2026
Last updated
05/27/2026
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