Individual
TRENTON DOUGLAS BLOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAC, BHP
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 774-4745
Mailing address
3935 N DALE DR, PRESCOTT VALLEY, AZ 86314-8210
(928) 713-0392
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-20284
AZ
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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