Doctor Name: | ROBERT LESLIE FARRELL |
NPI Number: | 1912145657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED.,NCC |
License Number: | |
Business Practice Address: | 601 N 7th St Williams, AZ - 860461905 |
Business Phone Number: | 9286354428 |
Business Fax Number: | 9286351213 |
Mailing Address: | Po Box 1079, 1333 W. Picacho Dr. ASH FORK |
State: | AZ |
Postal Code: | 863201079 |
Phone Number: | 9283109231 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2009 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |