Organization
ICARE COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI ERICKSON LCSW (ADMINISTRATOR)
(602) 881-1062
Entity
Organization
Contact information
Practice address
451 E 4TH PL, MESA, AZ 85203-7101
(602) 881-1062
Mailing address
451 E 4TH PL, MESA, AZ 85203-7101
(602) 881-1062
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/30/2022
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