Individual
NICHOLAS T. PUCHALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
633 E RAY RD STE 131, GILBERT, AZ 85296-4206
(480) 256-2829
Mailing address
8401 WAYZATA BLVD STE 150, GOLDEN VALLEY, MN 55426-1343
(763) 544-1006
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15340
AZ
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/16/2015
Last updated
05/01/2023
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