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Mr. Gus Tom Diamond
Mental Health Counselor in Mesa, Arizona
NPI 1407979578

Gus Tom Diamond is a Mental Health Counselor based in Mesa, AZ and is specialized in Mental Health. Gus Tom Diamond practices in Mesa, AZ. The NPI Number for Gus Tom Diamond is 1407979578 and holds a License No. LCSW-10267 (Arizona).

The current practice location address for Gus Tom Diamond is 2500 S Power Rd Ste 108, Mesa, AZ and can be reached out via phone at 480-981-6089.

Location: 2500 S Power Rd Ste 108, Mesa, AZ, 85207-9765
person
Provider Profile Details
NPI Number
1407979578
Provider Name
Gus Tom Diamond
Credential
Provider Entity Type
Individual
Gender
Male
Address
2500 S Power Rd Ste 108, Mesa, AZ, 85207-9765
Phone Number
480-981-6089
Fax Number
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2500 S Power Rd Ste 108
City
State
Zip
85209-6687
Phone Number
480-981-6089
Fax Number
person
Provider Business Mailing Address Details
Address
2500 S Power Rd Ste 108
City
State
Zip
85209-6687
Phone Number
480-981-6089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW-10267 (Arizona)
Definition
Definition to come...
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