Individual
JEFFREY STAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1022 S WALNUT RD, PRESCOTT, AZ 86303-5260
(928) 910-9066
Mailing address
1022 S WALNUT RD, PRESCOTT, AZ 86303-5260
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-20549
AZ
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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