Individual
MAUREEN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
711 S GRANITE ST, PRESCOTT, AZ 86303-4241
(928) 493-4373
(928) 515-2416
Mailing address
711 S GRANITE ST, PRESCOTT, AZ 86303-4241
(928) 863-8703
(928) 515-2416
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LSAT 15116
AZ
101YP2500X
Professional Counselor
Primary
LPC-19892
AZ
Other
Enumeration date
06/02/2015
Last updated
10/04/2021
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