Organization
CHILD TRAUMA COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA B. WHITE LPC (OWNER)
(623) 521-9043
Entity
Organization
Contact information
Practice address
2333 N PEBBLE CREEK PKWY STE A200, GOODYEAR, AZ 85395-9046
(623) 521-9043
Mailing address
2597 N 141ST LN, GOODYEAR, AZ 85395-2495
(623) 521-9043
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13958
AZ
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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