Individual
RENEE PODRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, LISAC
Contact information
Practice address
843 MILLER VALLEY RD STE 203, PRESCOTT, AZ 86301-1821
(928) 830-9651
Mailing address
843 MILLER VALLEY RD STE 203, PRESCOTT, AZ 86301-1821
(928) 830-9651
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10354
AZ
101YP2500X
Professional Counselor
Primary
12274
AZ
Other
Enumeration date
03/24/2015
Last updated
01/24/2019
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