Organization
CIRCLE MOUNTAIN COUNSELING, LLC
Active
Parent organization
CIRCLE MOUNTAIN COUNSELING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CIRCLE MOUNTAIN COUNSELING, LLC
Authorized official
MRS. APRIL ELISE LAIN LISAC (COUNSELOR CO-OWNER)
(623) 210-5951
Entity
Organization
Contact information
Practice address
18789 N REEMS RD STE 260, SURPRISE, AZ 85374-8648
(623) 432-0668
Mailing address
18789 N REEMS RD STE 260, SURPRISE, AZ 85374-8648
(623) 432-0668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC10221
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC1250
AZ
101YP2500X
Professional Counselor
Primary
LPC-10557
AZ
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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