LISA MARIE MEDEIROS

GILBERT, AZ
NPI1760191209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC-21287)
Enumeration Date2022-11-22
Last Update Date2022-11-22
Business Address
LISA MARIE MEDEIROS MS, LAC
3303 E BASELINE RD STE 109
GILBERT, AZ 85234-2739
Phone number: 480-900-8765
Mailing Address
LISA MARIE MEDEIROS MS, LAC
9247 S 15TH AVE
PHOENIX, AZ 85041-8609
Phone number: 480-231-4468