JOHN PEMBERTON

PRESCOTT, AZ
NPI1114703295
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: AZ  LCSW-22817)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2023-09-05
Last Update Date2025-02-21
Business Address
JOHN PEMBERTON LCSW
711 S GRANITE ST
PRESCOTT, AZ 86303-4241
Phone number: 928-713-2167
Mailing Address
JOHN PEMBERTON LCSW
9340 E RANCHO VISTA DR
PRESCOTT VALLEY, AZ 86314-7160
Phone number: 928-713-2167
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