Organization
PRESCOTT COUNSELING AND CONSULTING, LTD
Active
Other names
Prescott Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE DERESCHUK GRAY PHD (CEO)
(928) 774-3400
Entity
Organization
Contact information
Practice address
1515 N SAN FRANCISCO ST, FLAGSTAFF, AZ 86001-1435
(928) 774-3400
Mailing address
PO BOX 2456, FLAGSTAFF, AZ 86003-2456
(928) 774-3400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3096
AZ
Other
Enumeration date
05/16/2007
Last updated
03/06/2009
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