Organization
INNER JOURNEY COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON PAUL LCSW (PRESIDENT)
(928) 380-6130
Entity
Organization
Contact information
Practice address
711 N BEAVER ST, FLAGSTAFF, AZ 86001-3103
(928) 380-6130
Mailing address
711 N BEAVER ST, FLAGSTAFF, AZ 86001-3103
(928) 380-6130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-13675
AZ
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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