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NPI 1215893383

NPI 1215893383 : EAST VALLEY COUNSELING COMPANY : CHANDLER, AZ

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General NPI Number Information
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    NPI Number           |    1215893383
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    Entity Type          |    Organization 
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    Legal Business Name  |    EAST VALLEY COUNSELING COMPANY 
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Dates
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    Enumeration Date     |    01/01/2026
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    Last Update Date     |    01/01/2026
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Provider Practice Location Address
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    Address Line         |    2087 E LIBRA PL 
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    City                 |    CHANDLER
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    State                |    AZ
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    Zip                  |    85249-5205
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    Country              |    US
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    Telephone            |    480-648-1778
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    Fax                  |    480-866-0414
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Provider Business Mailing Address
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    Address Line         |    2087 E LIBRA PL 
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    City                 |    CHANDLER
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    State                |    AZ
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    Zip                  |    85249-5205
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    Country              |    US
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    Telephone            |    480-648-1778
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    Fax                  |    480-866-0414
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Authorized Official
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    Title or Position    |    OWNER AND LPC
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    Name                 |     SHELBY  ROSEMOND-GRAY 
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    Credential           |    LPC
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    Telephone            |    480-648-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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