Organization · Type 2 NPI

Supportive Community Services LLC

Mental Health Counselor · Phoenix, AZ

NPI number 1770123614 Active

Practice location

2432 W Peoria Ave
Phoenix, AZ 85029-4726

Fax (702) 202-1180

Mailing address

3454 Whitman Falls Dr
Las Vegas, NV 89129-6355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770123614

Supportive Community Services LLC's National Provider Identifier is 1770123614, issued on Jan 8, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 8, 2020.