person
Marissa Ann Widener, MC,LAC
Mental Health Counselor in Phoenix, Arizona
NPI 1104525880

Marissa Ann Widener is a Mental Health Counselor based in Chicago, AZ and is specialized in Mental Health. Marissa Ann Widener practices in Phoenix, AZ and has the professional credentials of MC,LAC. The NPI Number for Marissa Ann Widener is 1104525880 and holds a License No. LAC-21828 (Arizona).

The current practice location address for Marissa Ann Widener is 101 N 1St Ave Ste 2310, Phoenix, AZ and can be reached out via phone at 888-661-2742 and via fax at 312-275-7663.

Location: 101 N 1St Ave Ste 2310, Phoenix, AZ, 60606-5108
person
Provider Profile Details
NPI Number
1104525880
Provider Name
Marissa Ann Widener
Credential
MC,LAC
Provider Entity Type
Individual
Gender
Female
Address
101 N 1St Ave Ste 2310, Phoenix, AZ, 60606-5108
Phone Number
888-661-2742
Fax Number
312-275-7663
Provider Enumeration Date
03/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 N 1St Ave Ste 2310
City
State
Zip
85003-1902
Phone Number
888-661-2742
Fax Number
312-275-7663
person
Provider Business Mailing Address Details
Address
101 N 1St Ave Ste 2310
City
State
Zip
85003-1902
Phone Number
888-661-2742
Fax Number
312-275-7663
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LAC-21828 (Arizona)
Definition
Definition to come...
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