person
John M Schuderer, LISACLPC
Professional Counselor in Prescott, Arizona
NPI 1174584957

John M Schuderer is a Professional Counselor based in Prescott, AZ and is specialized in Professional. John M Schuderer practices in Prescott, AZ and has the professional credentials of LISACLPC. The NPI Number for John M Schuderer is 1174584957 and holds a License No. LISAC11381 (Arizona).

The current practice location address for John M Schuderer is 642 Dameron Dr, Prescott, AZ and can be reached out via phone at 928-445-5211 and via fax at 928-776-8484.

Location: 642 Dameron Dr, Prescott, AZ, 86301-2411
person
Provider Profile Details
NPI Number
1174584957
Provider Name
John M Schuderer
Credential
LISACLPC
Provider Entity Type
Individual
Gender
Male
Address
642 Dameron Dr, Prescott, AZ, 86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
Provider Enumeration Date
03/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
739485 05 AZ
institution
Provider Business Practice Location Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
person
Provider Business Mailing Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-8484
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC10607 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LISAC11381 (Arizona)
Definition
Definition to come...
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