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Bonny Marguerite Beach, LISAC
Counselor in Phoenix, Arizona
NPI 1578999041

Bonny Marguerite Beach is a Counselor based in Phoenix, AZ. Bonny Marguerite Beach practices in Phoenix, AZ and has the professional credentials of LISAC. The NPI Number for Bonny Marguerite Beach is 1578999041 and holds a License No. LISAC 11484 (Arizona).

The current practice location address for Bonny Marguerite Beach is 1648 S 16Th St, Phoenix, AZ and can be reached out via phone at 602-448-0935 and via fax at 602-532-7202.

Location: 1648 S 16Th St, Phoenix, AZ, 85013-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578999041
Provider Name
Bonny Marguerite Beach
Credential
LISAC
Provider Entity Type
Individual
Gender
Female
Address
1648 S 16Th St, Phoenix, AZ, 85013-3027
Phone Number
602-448-0935
Fax Number
602-532-7202
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1648 S 16Th St
City
Phoenix
State
Arizona
Zip
85034-5340
Phone Number
602-448-0935
Fax Number
602-532-7202
person
Provider Business Mailing Address Details
Address
1648 S 16Th St
City
Phoenix
State
Arizona
Zip
85034-5340
Phone Number
602-448-0935
Fax Number
602-532-7202
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LISAC 11484 (Arizona)
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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