Individual
NATHAN VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-6126
(928) 524-6090
Mailing address
105 N 5TH AVE, HOLBROOK, AZ 86025-2817
(928) 524-6701
(928) 524-3086
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC12953
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC13129
AZ
101YP2500X
Professional Counselor
Primary
LPC14297
AZ
Other
Enumeration date
09/22/2008
Last updated
07/19/2013
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