Individual
MS. JEAN RONELLE CALLIHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, LISAC
Contact information
Practice address
2500 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7929
(928) 537-2951
(928) 537-4841
Mailing address
2500 E SHOW LOW LAKE RD, SHOW LOW, AZ 85901-7929
(928) 537-2951
(928) 537-4841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10760
AZ
106H00000X
Marriage & Family Therapist
Primary
LMFT10226
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
919087
—
AZ
Enumeration date
12/21/2006
Last updated
09/25/2009
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