JOHN PEMBERTON

PRESCOTT, AZ
NPI1114703295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: AZ  Lmsw-20883)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-09-05
Last Update Date2023-09-05
Business Address
JOHN PEMBERTON
711 S GRANITE ST
PRESCOTT, AZ 86303-4241
Phone number: 928-713-2167
Mailing Address
JOHN PEMBERTON
9340 E RANCHO VISTA DR
PRESCOTT VALLEY, AZ 86314-7160
Phone number: 928-713-2167