Provider Demographics
NPI:1568650653
Name:KREHBIEL, JAMES PETER (EDS, LPC, CCBT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PETER
Last Name:KREHBIEL
Suffix:
Gender:M
Credentials:EDS, LPC, CCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8426 E SHEA BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6634
Mailing Address - Country:US
Mailing Address - Phone:480-664-6665
Mailing Address - Fax:480-951-6572
Practice Address - Street 1:8426 E SHEA BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6634
Practice Address - Country:US
Practice Address - Phone:480-664-6665
Practice Address - Fax:480-951-6572
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional