Organization
ARIZONA COUNSELING & TREATMENT SERVICES, LLC
Active
Organization
ARIZONA COUNSELING & TREATMENT SERVICES, LLC
Active
Parent organization
ARIZONA COUNSELING & TREATMENT SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA COUNSELING & TREATMENT SERVICES, LLC
Authorized official
FRED COGBURN (CHIEF OPERATIONS OFFICER)
(928) 346-0220
Entity
Organization
Contact information
Practice address
621 W RIVERSIDE DR STE B, PARKER, AZ 85344-5100
(928) 376-0220
Mailing address
2573 S ARIZONA AVE STE D, YUMA, AZ 85364-7336
(928) 376-0220
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
BH-3247
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
BH-3247
AZ
101YM0800X
Mental Health Counselor
BH-3247
AZ
101YP2500X
Professional Counselor
BH-3247
AZ
103G00000X
Clinical Neuropsychologist
BH-3247
AZ
103T00000X
Psychologist
BH-3247
AZ
103TB0200X
Cognitive & Behavioral Psychologist
BH-3247
AZ
103TC0700X
Clinical Psychologist
BH-3247
AZ
103TC2200X
Clinical Child & Adolescent Psychologist
BH-3247
AZ
103TF0000X
Family Psychologist
BH-3247
AZ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
BH-3247
AZ
103TP2701X
Group Psychotherapy Psychologist
BH-3247
AZ
104100000X
Social Worker
BH-3247
AZ
1041C0700X
Clinical Social Worker
BH-3247
AZ
251S00000X
Community/Behavioral Health Agency
Primary
BH-3247
AZ
Other
Enumeration date
07/22/2009
Last updated
07/23/2009
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