Organization
SECOND STORY COUSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA RANDALL LCSW (PRIMARY)
(480) 688-8282
Entity
Organization
Contact information
Practice address
4320 E BROWN RD STE 105, MESA, AZ 85205-4081
(480) 688-8282
Mailing address
4320 E BROWN RD STE 105, MESA, AZ 85205-4081
(480) 688-8282
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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