Organization
ARIZONA BEHAVIORAL HEALTH ASSOCIATES, P.C.
Active
Organization
ARIZONA BEHAVIORAL HEALTH ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE LUSK M.A. (MANAGING DIRECTOR)
(928) 774-7997
Entity
Organization
Contact information
Practice address
710 N BEAVER ST, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Mailing address
710 N BEAVER ST, BLDG 4, FLAGSTAFF, AZ 86001-3139
(928) 774-7997
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
3232
AZ
103TS0200X
School Psychologist
—
—
261QR1300X
Rural Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2006
Last updated
07/06/2020
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