Provider Demographics
NPI:1669794558
Name:DRESSNER COUNSELING SERVICES INC
Entity type:Organization
Organization Name:DRESSNER COUNSELING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:623-523-9987
Mailing Address - Street 1:27916 N 18TH DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-5354
Mailing Address - Country:US
Mailing Address - Phone:623-523-9987
Mailing Address - Fax:888-343-2533
Practice Address - Street 1:34225 N 27TH DR
Practice Address - Street 2:BUILDING 5, SUITE 318
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-6087
Practice Address - Country:US
Practice Address - Phone:623-523-9987
Practice Address - Fax:888-343-2533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-19
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-122261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ137240Medicare PIN