LAC Karissa Bruce, NPI 1124639414
Counselor in Prescott, AZ, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1124639414
NPI Entity Type Individual
Provider Name LAC Karissa Bruce
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 141 S Mccormick St Ste 103, Prescott, AZ, US
Provider Mailing Address 2087 W Redwood Way, Prescott, AZ, US, 863036029
Gender Female
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

101Y00000X

Taxonomy Name Counselor
Classification

Counselor

Group

Behavioral Health & Social Service Providers

License No. LAC-17445
License State AZ
Description 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.

Business Address

LAC Karissa Bruce
141 S Mccormick St Ste 103

Prescott, AZ, US

Phone: 928-533-1395

Mailing Address

LAC Karissa Bruce
2087 W Redwood Way
Prescott, AZ, US
ZIP 863036029
Phone: 928-533-1395

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