Individual
WILLIAM C WENNERHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1660 WILLOW CREEK RD, SUITE B, PRESCOTT, AZ 86301-1124
(928) 771-9424
(928) 717-1634
Mailing address
1660 WILLOW CREEK RD, SUITE B, PRESCOTT, AZ 86301-1124
(928) 771-9424
(928) 717-1634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
AZ LCSW 1943
AZ
Other
Enumeration date
08/05/2007
Last updated
08/13/2007
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