| NPI | 1104624915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARK NEWMAN Licensed Professional Counselor 928-719-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |