| Prescott Counseling And Consulting, Ltd | |
|
1515 N San Francisco St Flagstaff AZ 86001-1435 | |
| (928) 774-3400 | |
| Not Available |
| Full Name | Prescott Counseling And Consulting, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 1515 N San Francisco St, Flagstaff, Arizona |
| Authorized Official Name and Position | Michelle Dereschuk Gray (CEO) |
| Authorized Official Contact | 9287743400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Counseling And Consulting, Ltd Po Box 2456 Flagstaff AZ 86003-2456 Ph: (928) 774-3400 | Prescott Counseling And Consulting, Ltd 1515 N San Francisco St Flagstaff AZ 86001-1435 Ph: (928) 774-3400 |
| NPI Number | 1699982348 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 03/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699982348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3096 (Arizona) | Primary |
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