Individual provider · Type 1 NPI

Stanley Jamar Pruitt

Professional Counselor · Mesa, AZ

NPI number 1396801957 Active

Practice location

3707 E Southern Ave Ste 1051
Mesa, AZ 85206-6205

Call (480) 493-0092 Map

Mailing address

922 E 10th St
Mesa, AZ 85203-5632

Other practice locations

  • 922 E 10th St, Mesa, AZ 85203-5632 · (619) 370-8544

Specialties and licenses

TaxonomyCodeLicense
Child Mental Illness Respite Care 385HR2055XNone listed
Professional Counselor Primary 101YP2500XNone listed

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About NPI 1396801957

Stanley Jamar Pruitt's National Provider Identifier is 1396801957, issued on Dec 28, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Mesa, AZ. The record was last updated on Feb 7, 2025.