Vance, Deanna D.

Vance, Deanna D. is an sole proprietor health care provider with primary practice located at 222 E Birch Ave , Flagstaff AZ 86001. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Vance, Deanna D. can be contacted via phone (928) 607-9749.

Contact Information

Primary practice address
222 E Birch Ave Flagstaff AZ 86001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-10224 Arizona

Profile Details

NPI number 1215025952
LBN Legal business name Vance, Deanna D.
Credentials MED, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated May 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215025952 NPPES
Arizona Other 728206 AHCCCS PROVIDER #
Arizona Other LPC-10224 AHCCCS PROVIDER #

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