Individual
SUSAN K STRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC, LISAC, NCC
Contact information
Practice address
8591 E FLORENTINE RD, SUITE D, PRESCOTT VALLEY, AZ 86314-8947
(928) 445-0055
Mailing address
PO BOX 26033, PRESCOTT VALLEY, AZ 86312-6033
(928) 445-0055
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-11532
AZ
101YP2500X
Professional Counselor
Primary
LPC-12938
AZ
Other
Enumeration date
02/15/2006
Last updated
09/10/2010
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