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Individual

DAVID POPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LASAC

Contact information

Practice address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(402) 619-6419
(928) 227-2967
Mailing address
919 12TH PL STE 13, PRESCOTT, AZ 86305-1433
(402) 619-6419
(928) 227-2967

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15150
AZ

Other

Enumeration date
12/27/2006
Last updated
05/19/2016
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