Organization · Type 2 NPI

Mohave Neurofeedback Clinic, LLC

Professional Counselor · Kingman, AZ

NPI number 1174249015 Active

Practice location

2701 E Andy Devine Ave Ste 101
Kingman, AZ 86401-4889

Fax (928) 597-5172

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	None listed

Professional Counselor: Definition to come...

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NPI record

NPI: 1174249015
Entity type: Organization (Type 2)
Issued: Oct 12, 2022
Last updated: Mar 17, 2025
Status: Active

Other names

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Mohave Neurofeedback · doing business as
Mohave Neurofeedback · doing business as

Authorized official

Audra Nicole Jalbert, LPC
Owner, Counselor
(928) 263-1045

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About NPI 1174249015

Mohave Neurofeedback Clinic, LLC's National Provider Identifier is 1174249015, issued on Oct 12, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Kingman, AZ. The record was last updated on Mar 17, 2025.