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Individual

MR. DAVID DASTRUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
235 S EL DORADO CIR, MESA, AZ 85202-1044
(480) 968-2995
(480) 967-4103
Mailing address
1762 N DRESDEN, MESA, AZ 85203-2503

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1666
AZ
106H00000X
Marriage & Family Therapist
Primary
10106
AZ

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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