NPI | 1386049104 |
---|---|
Other Name | MAURIE S. COMENZO |
Entity Type | Organization |
Authorized Contact | MAURIE S. COMENZO Owner/Counselor Therapist 602-332-6115 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC#11904) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ ABCAC#1908) |
101YM0800X Counselor, Mental Health (Licence: AZ LPC#11904) | |
101YP2500X Counselor, Professional (Licence: AZ LPC#11904) | |
Enumeration Date | 2014-10-23 |
Last Update Date | 2015-04-04 |