Individual
JOHN STEPHEN COVELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
Mailing address
4343 N 16TH ST, PHOENIX, AZ 85016-5338
(602) 274-4343
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
225A00000X
Music Therapist
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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