Organization
EAST VALLEY COUNSELING ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH CHRISTIANO PHD (OWNER)
(480) 507-7880
Entity
Organization
Contact information
Practice address
4115 E VALLEY AUTO DR STE 208, MESA, AZ 85206-4612
(480) 507-7880
(480) 507-8013
Mailing address
4115 E VALLEY AUTO DR STE 208, MESA, AZ 85206-4612
(480) 507-7880
(480) 507-8013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
958
AZ
103TB0200X
Cognitive & Behavioral Psychologist
958
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54381
CIGNA BEHAVIORAL HEALTH
—
Enumeration date
06/11/2018
Last updated
06/11/2018
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