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Patricia D Boone-edgerton Longoni
Counselor in Mesa, Arizona
NPI 1679896450

Patricia D Boone-edgerton Longoni is a Counselor based in Mesa, AZ. Patricia D Boone-edgerton Longoni practices in Mesa, AZ. The NPI Number for Patricia D Boone-edgerton Longoni is 1679896450 and holds a License No. (Arizona).

The current practice location address for Patricia D Boone-edgerton Longoni is 1921 S Alma School Rd, Mesa, AZ and can be reached out via phone at 480-755-5553 and via fax at 480-456-2964.

Location: 1921 S Alma School Rd, Mesa, AZ, 85210-3036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679896450
Provider Name
Patricia D Boone-edgerton Longoni
Credential
Provider Entity Type
Individual
Gender
Female
Address
1921 S Alma School Rd, Mesa, AZ, 85210-3036
Phone Number
480-755-5553
Fax Number
480-456-2964
Provider Enumeration Date
03/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30-0123454 01 AZ TREE OF LIFE INC
institution
Provider Business Practice Location Address Details
Address
1921 S Alma School Rd
City
Mesa
State
Arizona
Zip
85210-3036
Phone Number
480-755-5553
Fax Number
480-456-2964
person
Provider Business Mailing Address Details
Address
1921 S Alma School Rd
City
Mesa
State
Arizona
Zip
85210-3036
Phone Number
480-755-5553
Fax Number
480-456-2964
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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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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