Individual
MRS. GRETA BLANKMAN STROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LISAC
Contact information
Practice address
1320 W GURLEY ST, PRESCOTT, AZ 86305-2854
(928) 776-2474
Mailing address
1320 W GURLEY ST, PRESCOTT, AZ 86305-2854
(928) 776-2474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11082
AZ
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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