Organization
STILLWATER COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN D CHARLES MSW, LCSW (CLINICIAN)
(480) 251-2156
Entity
Organization
Contact information
Practice address
935 E MAIN ST, SUITE 101, MESA, AZ 85203-8874
(480) 615-5921
(480) 615-5921
Mailing address
935 E MAIN ST, SUITE 101, MESA, AZ 85203-8874
(480) 615-5921
(480) 615-5921
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW-10704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407086754
NPI TYPE 1
AZ
Enumeration date
08/10/2010
Last updated
08/10/2010
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