Organization
REDEMPTION COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY BAUERLE (COUNSELOR)
(928) 814-8607
Entity
Organization
Contact information
Practice address
3009 N WEST ST, FLAGSTAFF, AZ 86004-3444
(928) 719-4009
Mailing address
3009 N WEST ST, FLAGSTAFF, AZ 86004-3444
(928) 719-4009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588208268
NPI NUMBER-NM
AZ
01
—
1760948046
NPI NUMBER-ENB
AZ
Enumeration date
11/13/2019
Last updated
11/13/2019
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