Moredock, George E
Moredock, George E is an sole proprietor health care provider with primary practice located at 2848 N Taylor Ln , Casa Grande AZ 85122-5870. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Moredock, George E can be contacted via phone (520) 213-6722.Contact Information
Primary practice address
2848 N Taylor Ln
Casa Grande AZ 85122-5870
Phone: (520) 213-6722
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC16741 | Arizona |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LPC167741 | Arizona |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC16741 | Arizona |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LPC16741 | Arizona |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC16741 | Arizona |
Profile Details
| NPI number | 1639675184 |
|---|---|
| LBN Legal business name | Moredock, George E |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 3rd, 2018 |
| Last updated | Apr 3rd, 2018 - about 8 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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