Provider Demographics
NPI:1912279639
Name:SLUTSKIY, YEVGENIY M (MC/LPC)
Entity Type:Individual
Prefix:
First Name:YEVGENIY
Middle Name:M
Last Name:SLUTSKIY
Suffix:
Gender:M
Credentials:MC/LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 E COTTON CENTER BLVD BLDG D
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-8852
Mailing Address - Country:US
Mailing Address - Phone:602-739-0142
Mailing Address - Fax:
Practice Address - Street 1:4350 E COTTON CENTER BLVD BLDG D
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-8852
Practice Address - Country:US
Practice Address - Phone:602-739-0142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health