| Chapter 5 Counseling Center Llc. | |
|
973 W Gurley St Prescott AZ 86305-2817 | |
| (928) 541-0692 | |
| Not Available |
| Full Name | Chapter 5 Counseling Center Llc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 973 W Gurley St, Prescott, Arizona |
| Authorized Official Name and Position | Peter Jon Erikson Thomas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7192374641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapter 5 Counseling Center Llc. 726 W Gurley St Prescott AZ 86305-3629 Ph: (928) 541-0692 | Chapter 5 Counseling Center Llc. 973 W Gurley St Prescott AZ 86305-2817 Ph: (928) 541-0692 |
| NPI Number | 1407398621 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407398621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Arizona) | Primary |
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