Organization
SACRED CANYON COUNSELING LLC
Active
Other names
Sacred Canyon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA L VAN SANFORD LPC (COUNSELOR/MANAGING PARTNER)
(928) 662-9978
Entity
Organization
Contact information
Practice address
7000, 2 AZ-179 D200, SEDONA, AZ 86351-9270
(928) 662-9978
Mailing address
PO BOX 21113, SEDONA, AZ 86341-1113
(928) 662-9978
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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