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Individual

MR. JOSEPH GORDON BADGETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCA

Contact information

Practice address
5448 SR 260, STE 230, LAKESIDE, AZ 85929
(928) 725-5100
Mailing address
PO BOX 1604, LAKESIDE, AZ 85929-1604
(336) 675-7441

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A7742
NC
101YP2500X
Professional Counselor
Primary
17573
AZ

Other

Enumeration date
03/18/2010
Last updated
01/26/2026
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