Individual
MR. JOHN RAYMOND THORNTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
642 DAMERON DR, PRESCOTT, AZ 86301-2411
(928) 445-5211
Mailing address
3343 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-1213
(928) 445-5211
(928) 445-0126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22409
AZ
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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