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NPI Code Detail

MEDICARE: JOHN MOREHEAD LPC

MEDICARE: JOHN MOREHEAD LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC-23098AZ

General Provider Information

NPI Number : 1679315741
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN MOREHEAD LPC
Provider Business Mailing Address
First Line : 3500 N CHRISTINE DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-8357
Country : US
Telephone Number : 336-930-2075
Fax Number :
Provider Business Practice Location Address
First Line : 3727 KARICIO LN
Second Line :
City : PRESCOTT
State : AZ
Zip : 86303-6829
Country : US
Telephone Number : 877-215-2224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/10/2024

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Directions to “ JOHN MOREHEAD LPC” Practice Location

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