Organization
PROFESSIONAL BEHAVIORAL HEALTH SERVICES OF ST. MICHAELS
Active
Other names
Professional Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEROY JIM LPCC (OWNER)
(928) 871-5409
Entity
Organization
Contact information
Practice address
LOT 165 BLANCO RD, SAINT MICHAELS, AZ 86511-0645
(928) 871-5409
Mailing address
LOT 165 BLANCO ROAD, KARIGAN ESTATES, SAINT MICHAELS, AZ 86511-0645
(928) 871-5409
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0146941
NM
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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