| Professional Counseling Services, Llc | |
|
8183 E Florentine Rd Suite B Prescott Valley AZ 86314-8454 | |
| (928) 772-3499 | |
| (928) 772-3491 |
| Full Name | Professional Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 8183 E Florentine Rd, Prescott Valley, Arizona |
| Authorized Official Name and Position | Johanna Gabriel Burton (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9287723499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Counseling Services, Llc Po Box 27949 Prescott Valley AZ 86312-7949 Ph: (928) 772-3499 | Professional Counseling Services, Llc 8183 E Florentine Rd Suite B Prescott Valley AZ 86314-8454 Ph: (928) 772-3499 |
| NPI Number | 1033356738 |
|---|---|
| Provider Enumeration Date | 01/16/2009 |
| Last Update Date | 01/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033356738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC0410 (Arizona) | Primary |
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