Organization
MICHAEL BRUBAKER COUNSELING
Active
Parent organization
MICHAEL BRUBAKER COUNSELING, LLC
Other names
Michael Brubaker Counseling, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHAEL BRUBAKER COUNSELING, LLC
Authorized official
MR. MICHAEL CLARK BRUBAKER LISAC/NCGC II (OWNER)
(520) 836-9788
Entity
Organization
Contact information
Practice address
1927 N. TREKELL RD, STE D, CASA GRANDE, AZ 85122
(520) 836-9788
(520) 421-1975
Mailing address
1927 N. TREKELL RD, STE. D, CASA GRANDE, AZ 85122
(520) 836-9788
(520) 421-1975
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LISACAZ0122
AZ
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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