Individual
JAMES KIP W MOYER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2695 E INDUSTRIAL DR, FLAGSTAFF, AZ 86004-6109
(928) 527-1899
(928) 714-6480
Mailing address
2187 N VICKEY ST, FLAGSTAFF, AZ 86004-6121
(928) 527-1899
(928) 714-6480
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15278
AZ
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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