| Intentional Counseling Services Llc | |
|
3231 S Country Club Way Ste 111 Tempe AZ 85282-4053 | |
| (480) 428-2549 | |
| (480) 659-7230 |
| Full Name | Intentional Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3231 S Country Club Way, Tempe, Arizona |
| Authorized Official Name and Position | Paul Krauss (OWNER) |
| Authorized Official Contact | 4804282549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intentional Counseling Services Llc 3231 S Country Club Way Ste 111 Tempe AZ 85282-4053 Ph: (480) 428-2549 | Intentional Counseling Services Llc 3231 S Country Club Way Ste 111 Tempe AZ 85282-4053 Ph: (480) 428-2549 |
| NPI Number | 1255883880 |
|---|---|
| Provider Enumeration Date | 10/31/2016 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255883880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LPC-13969 (Arizona) | Primary |
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