| Del Soul Counseling Pllc | |
|
15396 N 83rd Ave Ste G103 Peoria AZ 85381-5629 | |
| (602) 785-2449 | |
| (602) 785-2449 |
| Full Name | Del Soul Counseling Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 15396 N 83rd Ave Ste G103, Peoria, Arizona |
| Authorized Official Name and Position | Colleen May Kowalke (OWNER) |
| Authorized Official Contact | 6232618770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Del Soul Counseling Pllc Po Box 5231 Peoria AZ 85385-5231 Ph: (602) 785-2449 | Del Soul Counseling Pllc 15396 N 83rd Ave Ste G103 Peoria AZ 85381-5629 Ph: (602) 785-2449 |
| NPI Number | 1265948863 |
|---|---|
| Provider Enumeration Date | 12/18/2017 |
| Last Update Date | 12/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265948863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4545 (Arizona) | Primary |
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