| Interception Counseling Services, Llc | |
|
40 N Swan Rd Ste 114 Tucson AZ 85711-3019 | |
| (520) 261-0608 | |
| (520) 422-4911 |
| Full Name | Interception Counseling Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 N Swan Rd Ste 114, Tucson, Arizona |
| Authorized Official Name and Position | George Washington Kelly (PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5202610608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interception Counseling Services, Llc 5555 S White Spar Trl Tucson AZ 85747-0012 Ph: (520) 429-6129 | Interception Counseling Services, Llc 40 N Swan Rd Ste 114 Tucson AZ 85711-3019 Ph: (520) 261-0608 |
| NPI Number | 1346875986 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 10/19/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346875986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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