Individual
TERI SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, LISAC
Contact information
Practice address
240 S MONTEZUMA ST STE 201E, PRESCOTT, AZ 86303-4712
(928) 224-5257
Mailing address
240 S MONTEZUMA ST STE 201E, PRESCOTT, AZ 86303-4712
(928) 224-5257
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15160
AZ
106H00000X
Marriage & Family Therapist
Primary
15413
AZ
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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