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Jack Pullins, LPC
Counselor in Prescott, Arizona
NPI 1134621964

Jack Pullins is a Counselor based in Prescott, AZ. Jack Pullins practices in Prescott, AZ and has the professional credentials of LPC. The NPI Number for Jack Pullins is 1134621964 and holds a License No. LPC-16329 (Arizona).

The current practice location address for Jack Pullins is 111 S Cortez St, Prescott, AZ and can be reached out via phone at 928-756-9083.

Location: 111 S Cortez St, Prescott, AZ, 86303-4703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134621964
Provider Name
Jack Pullins
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
111 S Cortez St, Prescott, AZ, 86303-4703
Phone Number
928-756-9083
Fax Number
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 S Cortez St
City
Prescott
State
Arizona
Zip
86303-4703
Phone Number
928-756-9083
Fax Number
person
Provider Business Mailing Address Details
Address
111 S Cortez St
City
Prescott
State
Arizona
Zip
86303-4703
Phone Number
928-756-9083
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC-16329 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-16329 (Arizona)
Definition
Definition to come...
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