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General NPI Number Information
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NPI Number | 1447179015
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Entity Type | Organization
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Legal Business Name | FLAGSTAFF PSYCHOLOGY AND COUNSELING LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 119 E TERRACE AVE STE A
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5267
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Country | US
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Telephone | 602-478-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E TERRACE AVE STE A
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5267
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Country | US
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Telephone | 602-478-9957
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL ADMINISTRATOR
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Name | ROXANNE HAIT
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Credential | PSYD, LP
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Telephone | 602-478-9957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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