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Individual

PHIL MERRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED. LAC.

Contact information

Practice address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 420-8300
(928) 350-6404
Mailing address
3555 N SHARON DR, PRESCOTT VALLEY, AZ 86314-8240
(907) 500-3455

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-19524
AZ

Other

Enumeration date
04/01/2021
Last updated
04/01/2021
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