Prescott Counseling and Consulting, Ltd

NPI #1699982348 in Flagstaff, Arizona

Provider Information

NPI Number: 1699982348
Entity Type: Organization
Organization Name: Prescott Counseling and Consulting, Ltd
Primary Specialty: Psychologist
Enumeration Date: May 16, 2007
Last Updated: Mar 6, 2009

Practice Location

Address: 1515 N SAN FRANCISCO ST
City: Flagstaff
State: Arizona
ZIP Code: 86001-1435
Phone: (928) 774-3400

Authorized Official

Name: DR. MICHELLE DERESCHUK GRAY, PHD
Title: CEO
Phone: (928) 774-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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