Provider Demographics
NPI:1235280868
Name:HODSDON, DAVID CRAIG (LPC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:CRAIG
Last Name:HODSDON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD
Mailing Address - Street 2:SUITE #13
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8844
Mailing Address - Country:US
Mailing Address - Phone:480-477-7626
Mailing Address - Fax:480-477-7627
Practice Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD
Practice Address - Street 2:SUITE 13
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8844
Practice Address - Country:US
Practice Address - Phone:480-477-7626
Practice Address - Fax:480-477-7627
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10243101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC-10243OtherLIC. PROF. COUNSELOR AZ