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Organization

MOHAVE NEUROFEEDBACK CLINIC, LLC

Active
Other names
Mohave Neurofeedback
Organization subpart
No

Provider details

NPI number
Authorized official
AUDRA NICOLE JALBERT LPC (OWNER, COUNSELOR)
(928) 263-1045
Entity
Organization

Contact information

Practice address
2701 E ANDY DEVINE AVE STE 101, KINGMAN, AZ 86401-4889
(928) 263-1045
(928) 597-5172
Mailing address
2701 E ANDY DEVINE AVE STE 101, KINGMAN, AZ 86401-4889
(928) 263-1045
(928) 597-5172

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/12/2022
Last updated
03/17/2025
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