Provider Demographics
NPI:1720422280
Name:TRUE SELF COUNSELING, PLLC
Entity Type:Organization
Organization Name:TRUE SELF COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:MG
Authorized Official - Last Name:MORUE
Authorized Official - Suffix:
Authorized Official - Credentials:MC, LPC, NCC
Authorized Official - Phone:602-751-0528
Mailing Address - Street 1:44047 N. 43RD AVE.
Mailing Address - Street 2:74795
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85087
Mailing Address - Country:US
Mailing Address - Phone:602-751-0528
Mailing Address - Fax:
Practice Address - Street 1:34975 N NORTH VALLEY PKWY
Practice Address - Street 2:#152
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-4028
Practice Address - Country:US
Practice Address - Phone:602-751-0528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-26
Last Update Date:2016-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13971251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health