| NPI | 1548665359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK LASSITER Owner/Professional Counselor 520-591-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-15355) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC-15355) |
| 101YS0200X Counselor, School (Licence: AZ LPC-15355) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |