| Doctor Name: | NATHAN VELEZ |
| NPI Number: | 1104076512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D |
| License Number: | LAC12953 |
| Business Practice Address: | 105 N 5th Ave Holbrook, AZ - 860252817 |
| Business Phone Number: | 9285246126 |
| Business Fax Number: | 9285246090 |
| Mailing Address: | 105 N 5th Ave, HOLBROOK |
| State: | AZ |
| Postal Code: | 860252817 |
| Phone Number: | 9285246701 |
| Fax Number: | 9285243086 |
| NPI Enumeration Date: | 09/22/2008 |
| NPI Last Update Date: | 07/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | LAC12953 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |