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Organization

DEER VALLEY COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES LANGLEY NETTLES MS (BUSINESS DIRECTOR)
(602) 750-8051
Entity
Organization

Contact information

Practice address
2301 W DUNLAP AVE, SUITE 206, PHOENIX, AZ 85021-2844
(602) 750-8051
(602) 674-5701
Mailing address
2301 W DUNLAP AVE, SUITE 206, PHOENIX, AZ 85021-2844
(602) 750-8051
(602) 674-5701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LCSW-10782
AZ

Other

Enumeration date
10/11/2009
Last updated
10/11/2009
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