Organization Name: | INTEGRATED COUNSELING SERVICES, PLLC |
NPI Number: | 1437281706 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID L RICE (C.O.O.) |
Mailing Address: | 1450 S South St Ste 2 Globe |
State: | AZ US |
Postal Code: | 855011473 |
Phone Number: | 9284020013 |
Fax Number: | 9284020015 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC10631 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |