NPI 1265556336

Guy Ronald Finicum

Practitioner Foster Care Agency Fredonia, AZ

Practice location

Address: 2800 N. 50 E., Fredonia, AZ 86022
Phone: (435) 899-1312
Mailing address: PO Box 528, Fredonia, AZ 86022-0528

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X Licence 368267 (AZ)

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Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LPC-12447 (AZ)

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Registry record

NPI: 1265556336
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2007
Record last updated: 22 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.