| Fountain Of Hope Counseling | |
|
721 N Gonzales Blvd Huachuca City AZ 85616-9619 | |
| (520) 266-1819 | |
| Not Available |
| Full Name | Fountain Of Hope Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 721 N Gonzales Blvd, Huachuca City, Arizona |
| Authorized Official Name and Position | Brenda R Parker (EXECUTIVE DIRECTOR/COUNSELOR) |
| Authorized Official Contact | 5202661819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Of Hope Counseling 7182 S Ridling Dr Hereford AZ 85615-9486 Ph: (520) 266-1819 | Fountain Of Hope Counseling 721 N Gonzales Blvd Huachuca City AZ 85616-9619 Ph: (520) 266-1819 |
| NPI Number | 1245998012 |
|---|---|
| Provider Enumeration Date | 11/29/2021 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245998012 | NPI | - | NPPES |
| 1790438760 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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