Individual
MARK SHELDON ANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LAC, NCC-BC
Contact information
Practice address
8300 ACACIA DR, FLAGSTAFF, AZ 86004-1222
(928) 814-9544
Mailing address
8300 ACACIA DR, FLAGSTAFF, AZ 86004-1222
(928) 814-9544
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
17818
AZ
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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