| Sacred Canyon Counseling Llc | |
|
7000, 2 Az-179 D200 Sedona AZ 86351-9270 | |
| (928) 662-9978 | |
| Not Available |
| Full Name | Sacred Canyon Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7000, 2 Az-179 D200, Sedona, Arizona |
| Authorized Official Name and Position | Dianna L Van Sanford (COUNSELOR/MANAGING PARTNER) |
| Authorized Official Contact | 9286629978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Canyon Counseling Llc Po Box 21113 Sedona AZ 86341-1113 Ph: (928) 662-9978 | Sacred Canyon Counseling Llc 7000, 2 Az-179 D200 Sedona AZ 86351-9270 Ph: (928) 662-9978 |
| NPI Number | 1245902345 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245902345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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