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Individual

DANIEL E BEJESKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LISAC

Contact information

Practice address
6 E ASPEN AVE, FLAGSTAFF, AZ 86001-5259
(602) 578-4843
Mailing address
3026 W MELINDA LN, PHOENIX, AZ 85027-2345
(602) 578-4843

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11841
AZ
101YP2500X
Professional Counselor
Primary
LPC-12040
AZ

Other

Enumeration date
09/29/2008
Last updated
09/29/2008
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