# PONDEROSA COUNSELING OF ARIZONA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528810769
- **Authorized official:** DEBORAH ANN COLLINS PMHNP-BC, RXN (OWNER)
- **Authorized official phone:** (303) 506-7709

## Contact information

- **Practice address:** 240 S MONTEZUMA ST STE 201B, PRESCOTT, AZ 86303-4712
- **Practice address phone:** (303) 506-7709
- **Practice address fax:** (928) 379-5083
- **Mailing address:** 8546 N PEPPERBOX RD, PRESCOTT VALLEY, AZ 86315-4028
- **Mailing address phone:** (303) 506-7709
- **Mailing address fax:** (928) 379-5083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/02/2024
- **Last updated:** 04/02/2024