Individual
CAROL PEASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CPC
Contact information
Practice address
3880 N STOCKTON HILL RD, #103-449, KINGMAN, AZ 86409-0595
(928) 303-5155
Mailing address
3880 N STOCKTON HILL RD, #103-449, KINGMAN, AZ 86409-0595
(928) 303-5155
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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