Janet Bontrager

Individual provider Active NPI Marriage & Family Therapist · Prescott, AZ

NPI 1831854751 · NPPES record last updated Nov 4, 2021

Key facts

NPI
1831854751
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
1745 Rustic Timbers LN Ste E1
Prescott, AZ 86303-4975
Phone
(928) 910-2505
NPI assigned
Nov 4, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

1745 Rustic Timbers LN Ste E1
Prescott, AZ 86303-4975

Mailing address

1745 Rustic Timbers LN Ste E1
Prescott, AZ 86303-4975
Phone (928) 910-2505

Other providers in Prescott, AZ

All providers in Prescott, AZ · Marriage & Family Therapist in Arizona

Sources for this page

Verify at the official NPI Registry.