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Organization
PONDEROSA COUNSELING OF ARIZONA
Active
Organization
PONDEROSA COUNSELING OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH ANN COLLINS PMHNP-BC, RXN (OWNER)
(303) 506-7709
Entity
Organization
Contact information
Practice address
240 S MONTEZUMA ST STE 201B, PRESCOTT, AZ 86303-4712
(303) 506-7709
(928) 379-5083
Mailing address
8546 N PEPPERBOX RD, PRESCOTT VALLEY, AZ 86315-4028
(303) 506-7709
(928) 379-5083
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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