| Organization Name: | SAN TAN COUNSELING LLC |
| NPI Number: | 1043460397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | D PAUL SMITH (CEO) |
| Mailing Address: | 288 N Ironwood Dr Ste 101 Apache Junction |
| State: | AZ US |
| Postal Code: | 852203830 |
| Phone Number: | 4809822356 |
| Fax Number: | 4809822449 |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 07/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |