Real Life Counseling Services, Pllc | |
3573 S 158th Pl Bldg B Gilbert AZ 85297-2046 | |
(480) 748-5006 | |
(480) 265-4444 |
Full Name | Real Life Counseling Services, Pllc |
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Speciality | Counselor - Professional |
Location | 3573 S 158th Pl, Gilbert, Arizona |
Authorized Official Name and Position | Darcy Kusak (MEMBER, STATUTORY AGENT, FOUNDER) |
Authorized Official Contact | 4807485006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Real Life Counseling Services, Pllc 3573 S 158th Pl Bldg B Gilbert AZ 85297-2046 Ph: (480) 748-5006 | Real Life Counseling Services, Pllc 3573 S 158th Pl Bldg B Gilbert AZ 85297-2046 Ph: (480) 748-5006 |
NPI Number | 1154750529 |
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Provider Enumeration Date | 11/06/2013 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1154750529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-13028 (Arizona) | Primary |
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