| NPI | 1497090518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KELLEHER Counselor 602-321-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-13096) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |