Provider Demographics
NPI:1023458858
Name:CLAW, ANN MARIE (JD, LPC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:CLAW
Suffix:
Gender:F
Credentials:JD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N SAN FRANCISCO ST STE 206
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-4600
Mailing Address - Country:US
Mailing Address - Phone:520-349-6086
Mailing Address - Fax:
Practice Address - Street 1:223 N SAN FRANCISCO ST STE 206
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-4600
Practice Address - Country:US
Practice Address - Phone:520-349-6086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC10014101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional