Individual
MR. STANLEY JAMAR PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3707 E SOUTHERN AVE STE 1051, MESA, AZ 85206-6205
(480) 493-0092
Mailing address
922 E 10TH ST, MESA, AZ 85203-5632
(619) 370-8544
(480) 641-5768
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
12/28/2006
Last updated
02/07/2025
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