Organization
SNOWY MOUNTAIN COUNSELLING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BONNETT (MEMBER)
(928) 535-9884
Entity
Organization
Contact information
Practice address
2935 HWY 260 - B5, OVERGAARD, AZ 85933-0032
(928) 535-9884
Mailing address
PO BOX 32, OVERGAARD, AZ 85933-0032
(928) 535-9884
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCSW10894
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2195995
CIGNA
AZ
Enumeration date
08/25/2008
Last updated
09/09/2008
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