Individual
ROBERT LESLIE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED.,NCC
Contact information
Practice address
601 N 7TH ST, WILLIAMS, AZ 86046-1905
(928) 635-4428
(928) 635-1213
Mailing address
PO BOX 1079, 1333 W. PICACHO DR., ASH FORK, AZ 86320-1079
(928) 310-9231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AZ
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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