Individual
KEVIN D EARNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 S MONTEZUMA ST STE 106, PRESCOTT, AZ 86303-4712
(844) 384-7223
Mailing address
240 S MONTEZUMA ST STE 106, PRESCOTT, AZ 86303-4712
(844) 384-7223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15490
AZ
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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