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Organization

MICHAEL BRUBAKER COUNSELING

Active
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Organization

MICHAEL BRUBAKER COUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL C BRUBAKER LISAC, NCGC II (OWNER)
(520) 836-9788
Entity
Organization

Contact information

Practice address
1927 N TREKELL RD STE D, CASA GRANDE, AZ 85122-1762
(520) 836-9788
(520) 421-1975
Mailing address
1927 N TREKELL RD STE D, CASA GRANDE, AZ 85122-1762
(520) 836-9788
(520) 421-1975

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-3333
AZ

Other

Enumeration date
10/26/2012
Last updated
10/26/2012
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