Individual
BRENT E CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
463 S. LAKE POWELL BLVD, PAGE, AZ 86040-0790
(928) 645-5113
(928) 645-3254
Mailing address
463 S. LAKE POWELL BLVD, PO BOX 790, PAGE, AZ 86040-0790
(928) 645-5113
(928) 645-3254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-12277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101918
—
AZ
Enumeration date
07/03/2006
Last updated
07/09/2007
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