| White Mountain Counseling | |
|
1201 E Cooley St Ste H Show Low AZ 85901-5145 | |
| (928) 532-3238 | |
| (928) 532-3292 |
| Full Name | White Mountain Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1201 E Cooley St Ste H, 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 1201 E Cooley St Ste H Show Low AZ 85901-5145 Ph: (928) 532-3238 |
| NPI Number | 1912187030 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912187030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH-1884 (Arizona) | Primary |
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