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Individual

MS. RHONDA LEE PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LISAC

Contact information

Practice address
1223 E WINTER DR, PHOENIX, AZ 85020-4213
(602) 320-7787
Mailing address
1223 E WINTER DR, PHOENIX, AZ 85020-4213
(602) 320-7787

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
F18635
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
1291
AZ
101YM0800X
Mental Health Counselor
11597
AZ
101YP2500X
Professional Counselor
Primary
11597
AZ

Other

Enumeration date
12/12/2011
Last updated
12/12/2011
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