John Pemberton, LCSW

NPI 1114703295 · on the registry since 2023 · sole proprietor

Practice

Address: 711 S Granite St
Prescott, AZ 86303
Phone: (928) 713-2167
Organisation at this address: Round Table Recovery, Llc
Compass Recovery Center Llc
Oasis Addiction Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101Y00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-02-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona