Doctor Name: | MR. GARY HEES |
NPI Number: | 1003230921 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | LPC-12141 |
Business Practice Address: | 505 Whipple St Prescott, AZ - 863011747 |
Business Phone Number: | 9287784600 |
Business Fax Number: | 9287782221 |
Mailing Address: | 505 Whipple St, PRESCOTT |
State: | AZ |
Postal Code: | 863011747 |
Phone Number: | 9287784600 |
Fax Number: | 9287782221 |
NPI Enumeration Date: | 02/12/2014 |
NPI Last Update Date: | 02/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LPC-12141 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |