Organization
PORTABLE PRACTICAL EDUCATION PREPARATION, INC
Active
Other names
PPEP Integrated Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID ARNOLD PH.D (CEO/FOUNDER)
(520) 622-3553
Entity
Organization
Contact information
Practice address
901 E 46TH ST, TUCSON, AZ 85713-5008
(520) 792-5704
(520) 792-5724
Mailing address
802 E 46TH ST, TUCSON, AZ 85713-5006
(520) 622-3553
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSLG7856
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134958
—
AZ
Enumeration date
09/20/2006
Last updated
12/09/2016
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