| Flagstaff Child & Family Counseling Center Pllc | |
|
408 N Kendrick St Suite 3 Flagstaff AZ 86001-1582 | |
| (928) 774-6364 | |
| (928) 556-0504 |
| Full Name | Flagstaff Child & Family Counseling Center Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 408 N Kendrick St, Flagstaff, Arizona |
| Authorized Official Name and Position | James Andrew Hogg (MANAGING PARTNER) |
| Authorized Official Contact | 9287746364 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flagstaff Child & Family Counseling Center Pllc 408 N Kendrick St Suite 3 Flagstaff AZ 86001-1582 Ph: (928) 774-6364 | Flagstaff Child & Family Counseling Center Pllc 408 N Kendrick St Suite 3 Flagstaff AZ 86001-1582 Ph: (928) 774-6364 |
| NPI Number | 1033311527 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 09/24/2010 |
| Medicare PECOS PAC ID | 1658263330 |
|---|---|
| Medicare Enrollment ID | O20040326001202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033311527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1273 (Arizona) | Primary |
| Provider Name | Kelli L Sieczkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740459460 PECOS PAC ID: 7012100811 Enrollment ID: I20101026000339 |
| Provider Name | James A Hogg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154324473 PECOS PAC ID: 5395938195 Enrollment ID: I20101109001396 |
Martha L. Scranton, Ms.lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 N Beaver St, Flagstaff, AZ 86001 Phone: 928-214-1070 Fax: 928-214-1071 | |
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