Organization
STANLEY PRUITT LLC
Active
Other names
Agape Joe's Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY J PRUITT LPC (OWNER/PROVIDER)
(619) 370-8544
Entity
Organization
Contact information
Practice address
922 E 10TH ST, MESA, AZ 85203-5632
(619) 370-8544
Mailing address
922 E 10TH ST, MESA, AZ 85203-5632
(619) 370-8544
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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