person
Ms. Annette B. Church, LPC,LISAC
Professional Counselor in Prescott, Arizona
NPI 1952349011

Annette B. Church is a Professional Counselor based in Prescott, AZ and is specialized in Professional. Annette B. Church practices in Prescott, AZ and has the professional credentials of LPC,LISAC. The NPI Number for Annette B. Church is 1952349011 and holds a License No. LISAC-10423 (Arizona).

The current practice location address for Annette B. Church is 642 Dameron Dr, Prescott, AZ and can be reached out via phone at 928-445-5211 and via fax at 928-776-0963. You can also correspond with Annette B. Church through the mailing address at 642 DAMERON DR, PRESCOTT, AZ - 86301-2411 (mailing address contact number: 928-445-5211).

Location: 642 Dameron Dr, Prescott, AZ, 86301-2411
person
Provider Profile Details
NPI Number
1952349011
Provider Name
Annette B. Church
Credential
LPC,LISAC
Provider Entity Type
Individual
Gender
Female
Address
642 Dameron Dr, Prescott, AZ, 86301-2411
Phone Number
928-445-5211
Fax Number
928-776-0963
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
590027 01 AZ AHCCCS #
institution
Provider Business Practice Location Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-0963
person
Provider Business Mailing Address Details
Address
642 Dameron Dr
City
State
Zip
86301-2411
Phone Number
928-445-5211
Fax Number
928-776-0963
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-10149 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LISAC-10423 (Arizona)
Definition
Definition to come...
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