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Organization
CULTIVATE COUNSELING PLLC
Active
Organization
CULTIVATE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISTOPHER DOHSE (MANAGER)
(928) 864-5024
Entity
Organization
Contact information
Practice address
624 N HUMPHREYS ST STE 1, FLAGSTAFF, AZ 86001-3070
(928) 814-0122
Mailing address
624 N HUMPHREYS ST STE 1, FLAGSTAFF, AZ 86001-3070
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
15628
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487193538
UNITED
—
Enumeration date
04/09/2018
Last updated
11/11/2022
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