Individual
MR. JAMES CLARENCE NELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5010 EAST SHEA BLVD. SUITE D202 ACT COUNSELING & EDUCAT, SCOTTSDALE, AZ 85254-4570
(602) 509-4328
(602) 507-4328
Mailing address
ACT COUNSELING & EDUCATION, 5010 EAST SHEA BLVD. SUITE D 202, SCOTTSDALE, AZ 85254-4570
(602) 509-4328
(602) 507-4327
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
11/30/2018
Last updated
12/05/2018
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