Organization
ADVENTURE DISCOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JENSEN MA LPC (EXECUTIVE DIRECTOR)
(928) 774-1926
Entity
Organization
Contact information
Practice address
403 W BIRCH AVE, FLAGSTAFF, AZ 86001-4467
(928) 774-1926
(928) 779-4273
Mailing address
403 W BIRCH AVE, FLAGSTAFF, AZ 86001-4467
(928) 774-1926
(928) 779-4273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH-650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134536
PIN#
AZ
Enumeration date
10/26/2006
Last updated
08/22/2020
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