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Daisy Coral Mateo Antuna
Counselor in Phoenix, Arizona
NPI 1518333699

Daisy Coral Mateo Antuna is a Counselor based in Phoenix, AZ. Daisy Coral Mateo Antuna practices in Phoenix, AZ. The NPI Number for Daisy Coral Mateo Antuna is 1518333699 and holds a License No. (Arizona).

The current practice location address for Daisy Coral Mateo Antuna is 4041 N Central Ave Bldg C, Phoenix, AZ and can be reached out via phone at 602-279-5351.

Location: 4041 N Central Ave Bldg C, Phoenix, AZ, 85012-3313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518333699
Provider Name
Daisy Coral Mateo Antuna
Credential
Provider Entity Type
Individual
Gender
Female
Address
4041 N Central Ave Bldg C, Phoenix, AZ, 85012-3313
Phone Number
602-279-5351
Fax Number
Provider Enumeration Date
08/12/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1307576 05 MA
M18463 01 MA BLUE CROSS BLUE SHIELD
1303295 05 MA
institution
Provider Business Practice Location Address Details
Address
4041 N Central Ave Bldg C
City
Phoenix
State
Arizona
Zip
85012-3313
Phone Number
602-279-5351
Fax Number
person
Provider Business Mailing Address Details
Address
4041 N Central Ave Bldg C
City
Phoenix
State
Arizona
Zip
85012-3313
Phone Number
602-279-5351
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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