Organization
DESERT EAGLE COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY JASON BUCK LPC (OWNER)
(480) 269-1733
Entity
Organization
Contact information
Practice address
1835 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224-5286
(480) 269-1733
Mailing address
1835 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224-5286
(480) 269-1733
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
LPC-13746
AZ
Other
Enumeration date
02/27/2014
Last updated
09/04/2015
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