Individual
MR. DAREN DIRKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 S 35TH AVE, PHOENIX, AZ 85009-6706
(602) 346-3349
Mailing address
4335 W JULIE DR, GLENDALE, AZ 85308-4419
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22478
AZ
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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