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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