| White Mountain Counseling | |
|
1141 E Cooley St Show Low AZ 85901-5103 | |
| (928) 532-3238 | |
| Not Available |
| Full Name | White Mountain Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1141 E Cooley St, Show Low, Arizona |
| Authorized Official Name and Position | Jean M Lee (CEO) |
| Authorized Official Contact | 9285323238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Mountain Counseling Po Box 3872 Show Low AZ 85902-3872 Ph: (928) 532-3238 | White Mountain Counseling 1141 E Cooley St Show Low AZ 85901-5103 Ph: (928) 532-3238 |
| NPI Number | 1558013797 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558013797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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