Zackary Paustian LAC

NPI 1407279417 - Counselor - 101YM0800X

NPI Details
NPI 1407279417
Gender Male
Enumeration Date 01/27/2014
Last Updated 10/21/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
2120 S MCCLINTOCK DR
SUITE 105
TEMPE AZ, 85282-2692, US
Phone (480) 804-0326
Fax (480) 302-7884
Business Location
1400 E. SOUTHERN AVE
STE. 735
TEMPE AZ, 85282-2692, US
Phone (480) 804-0326
Fax (480) 302-7884
Toxanomy
Taxonomy Code 101YM0800X
License State Arizona
License Number LAC- 14483
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According to our database, Zackary Paustian LAC NPI is 1407279417, taxonomy code is 101YM0800X and license number is LAC- 14483, license state is located at Arizona. Zackary Paustian LAC physically located at 2120 S Mcclintock Dr, Tempe AZ, 85282-2692. NPI Number Zackary Paustian LAC has the Individual type.

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1407279417 NPI number is provided on an as is basis without warranty of any kind. 1407279417 is maintained by the National Plan & Provider Enumeration System. The contents of Zackary Paustian LAC are for informational purposes only.