| Coconino County Juvenile Courts | |
|
1001 E. Sawmill Rd. Flagstaff AZ 86001-5833 | |
| (928) 226-5409 | |
| (928) 226-5454 |
| Full Name | Coconino County Juvenile Courts |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1001 E. Sawmill Rd., Flagstaff, Arizona |
| Authorized Official Name and Position | Bryon Matsuda (DIRECTOR OF COURT SERVICES) |
| Authorized Official Contact | 9282265414 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coconino County Juvenile Courts 1001 E. Sawmill Rd. Flagstaff AZ 86001-5833 Ph: (928) 226-5409 | Coconino County Juvenile Courts 1001 E. Sawmill Rd. Flagstaff AZ 86001-5833 Ph: (928) 226-5409 |
| NPI Number | 1194328450 |
|---|---|
| Provider Enumeration Date | 11/19/2020 |
| Last Update Date | 11/19/2020 |
| Certification Date | 11/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194328450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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