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General NPI Number Information
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NPI Number | 1821563081
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Entity Type | Organization
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Legal Business Name | ARIZONA CONSULTING AND COUNSELING SERVICES
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 10/03/2018
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Provider Practice Location Address
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Address Line | 8263 W THUNDERBIRD RD STE 100
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City | PEORIA
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State | AZ
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Zip | 85381-4615
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Country | US
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Telephone | 623-776-7766
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Fax | 623-776-7767
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Provider Business Mailing Address
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Address Line | 8263 W THUNDERBIRD RD STE 100
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City | PEORIA
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State | AZ
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Zip | 85381-4615
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Country | US
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Telephone | 623-776-7766
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Fax | 623-776-7767
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. KALYN TAYLOR
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Credential | MS, LPC
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Telephone | 623-695-4214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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