Provider Demographics
NPI:1760585236
Name:SLEEPER, NANCY JOANN (LPC, MAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JOANN
Last Name:SLEEPER
Suffix:
Gender:F
Credentials:LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 S CLUBHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-8224
Mailing Address - Country:US
Mailing Address - Phone:520-458-5829
Mailing Address - Fax:
Practice Address - Street 1:434 CHRISTY AVE
Practice Address - Street 2:
Practice Address - City:FORT HUACHUCA
Practice Address - State:AZ
Practice Address - Zip Code:85613-7001
Practice Address - Country:US
Practice Address - Phone:520-538-1313
Practice Address - Fax:520-533-5492
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004509101YM0800X
WI4157-1231041C0700X
ID101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional