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BRENT E CASE

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1952330656

Individual Registrant:
 BRENT E CASE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
463 S. LAKE POWELL BLVD  PAGE, AZ 86040-0790 US
Tel: 928-645-5113  Fax: 928-645-3254

Contact information for business:
463 S. LAKE POWELL BLVD PO BOX 790 PAGE, AZ 86040-0790 US
Tel: 928-645-5113  Fax: 928-645-3254

Registration Information:
NPI: 1952330656
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
AZLPC-12277

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
101918AZ05




HEALTH CARE JOBS AZ - Page 1



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