Organization
THE PHOENIX COUNSELING COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB MITCHELL LPC (OWNER)
(602) 888-3299
Entity
Organization
Contact information
Practice address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
(602) 888-3299
Mailing address
810 N 6TH AVE, PHOENIX, AZ 85003-1318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/16/2017
Last updated
06/16/2018
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