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General NPI Number Information
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NPI Number | 1801692843
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Entity Type | Organization
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Legal Business Name | PRESCOTT HEALTH COUNSELING PLLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 42101 N 41ST DR STE 152
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City | ANTHEM
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State | AZ
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Zip | 85086-3819
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Country | US
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Telephone | 928-273-6434
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 W CULPEPPER DR
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City | NEW RIVER
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State | AZ
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Zip | 85087-3069
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Country | US
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Telephone | 928-277-5654
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | SAVANA HOWE
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Credential | PSYD
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Telephone | 928-273-6434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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