Provider Demographics
NPI:1891336848
Name:SKAGGS, AUBREY N (LPC)
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:N
Last Name:SKAGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:SKAGGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1016 W UNIVERSITY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-2996
Mailing Address - Country:US
Mailing Address - Phone:602-730-6267
Mailing Address - Fax:
Practice Address - Street 1:1016 W UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-2994
Practice Address - Country:US
Practice Address - Phone:602-730-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20186101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional