Organization
EAST VALLEY TRAUMA COUNSELING LLC
Active
Organization
EAST VALLEY TRAUMA COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY DELUCA (BILLING MANAGER)
(602) 741-3077
Entity
Organization
Contact information
Practice address
1166 E WARNER RD STE 206, GILBERT, AZ 85296-3066
(480) 462-7728
(480) 452-1530
Mailing address
3641 W LAREDO ST, CHANDLER, AZ 85226-2233
(480) 776-4155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16034
AZ
Other
Enumeration date
07/07/2017
Last updated
10/29/2019
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