Doctor Name: | MRS. JOSEPHINE ZUTELL |
NPI Number: | 1124157045 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | LFMFT0131 |
Business Practice Address: | 8766 East Hwy 69 Humboldt Unified School District # 22 Special Services Prescott Valley, AZ - 86314 |
Business Phone Number: | 9287594028 |
Business Fax Number: | 9287594030 |
Mailing Address: | 8660 Live Oak Drive, PRESCOTT |
State: | AZ |
Postal Code: | 86305 |
Phone Number: | 9287781414 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | LFMFT0131 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |