| Doctor Name: | DAVID POPE |
| NPI Number: | 1053476309 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LASAC |
| License Number: | LASAC-15150 |
| Business Practice Address: | 919 12th Pl Ste 13 Prescott, AZ - 863051433 |
| Business Phone Number: | 4026196419 |
| Business Fax Number: | 9282272967 |
| Mailing Address: | 919 12th Pl Ste 13, PRESCOTT |
| State: | AZ |
| Postal Code: | 863051433 |
| Phone Number: | 4026196419 |
| Fax Number: | 9282272967 |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | LASAC-15150 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |