person
Bradley Marvin Head, LPC
Professional Counselor in Show Low, Arizona
NPI 1417912304

Bradley Marvin Head is a Professional Counselor based in Show Low, AZ and is specialized in Professional. Bradley Marvin Head practices in Show Low, AZ and has the professional credentials of LPC. The NPI Number for Bradley Marvin Head is 1417912304 and holds a License No. LPC0637 (Arizona).

The current practice location address for Bradley Marvin Head is 2550 Show Low Lake Road, Show Low, AZ and can be reached out via phone at 928-537-1029 and via fax at 928-537-9049.

Location: 2550 Show Low Lake Road, Show Low, AZ, 85901-7929
person
Provider Profile Details
NPI Number
1417912304
Provider Name
Bradley Marvin Head
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2550 Show Low Lake Road, Show Low, AZ, 85901-7929
Phone Number
928-537-1029
Fax Number
928-537-9049
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
742488 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
2550 Show Low Lake Road
City
State
Zip
85901-7929
Phone Number
928-537-1029
Fax Number
928-537-9049
person
Provider Business Mailing Address Details
Address
2550 Show Low Lake Road
City
State
Zip
85901-7929
Phone Number
928-537-1029
Fax Number
928-537-9049
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC0637 (Arizona)
Definition
Definition to come...
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