Individual
VIRGINIA WENZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2063 MEADOWBROOK RD, PRESCOTT, AZ 86303-5696
(928) 925-5662
Mailing address
2063 MEADOWBROOK RD, PRESCOTT, AZ 86303-5696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC-10210
—
101YP2500X
Professional Counselor
Primary
CC-10210
AZ
101YP2500X
Professional Counselor
CC-10210
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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