Individual
JOHN M SCHUDERER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISAC LPC
Contact information
Practice address
642 DAMERON DR, WEST YAVAPAI GUIDANCE CLINIC INC HILLSIDE CD, PRESCOTT, AZ 86301-2411
(928) 445-5211
(928) 776-8484
Mailing address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 445-5211
(928) 776-8484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC11381
AZ
101YP2500X
Professional Counselor
Primary
LPC10607
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
739485
—
AZ
Enumeration date
03/31/2006
Last updated
09/11/2025
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