Individual
JASON CHAMPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
3700 WILLOW CREEK RD, PRESCOTT, AZ 86301-3720
(928) 910-3376
Mailing address
3700 WILLOW CREEK RD, PRESCOTT, AZ 86301-3721
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC20200
AZ
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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