Individual
MR. DANIEL BEJAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 713-6328
Mailing address
8200 E JACQUE DR, PRESCOTT VALLEY, AZ 86314-6172
(928) 713-6328
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1083
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854580
—
AZ
Enumeration date
02/04/2008
Last updated
01/11/2017
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