Organization
FOUNDATION FOR COUNSELING LLC
Active
Organization
FOUNDATION FOR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE D LUSTER LPC (MEMBER)
(602) 548-8733
Entity
Organization
Contact information
Practice address
15650 N BLACK CANYON HWY STE 130B, PHOENIX, AZ 85053-4040
(602) 548-8733
(602) 548-3112
Mailing address
15650 N BLACK CANYON HWY STE 130B, PHOENIX, AZ 85053-4040
(602) 548-8733
(602) 548-3112
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
LPC 2478
AZ
251S00000X
Community/Behavioral Health Agency
Primary
LPC 2479
AZ
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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