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Lisa Marie Medeiros, MS,LAC
Mental Health Counselor in Gilbert, Arizona
NPI 1760191209

Lisa Marie Medeiros is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Lisa Marie Medeiros practices in Gilbert, AZ and has the professional credentials of MS,LAC. The NPI Number for Lisa Marie Medeiros is 1760191209 and holds a License No. LAC-21287 (Arizona).

The current practice location address for Lisa Marie Medeiros is 3303 E Baseline Rd Ste 109, Gilbert, AZ and can be reached out via phone at 480-900-8765.

Location: 3303 E Baseline Rd Ste 109, Gilbert, AZ, 85041-8609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760191209
Provider Name
Lisa Marie Medeiros
Credential
MS,LAC
Provider Entity Type
Individual
Gender
Female
Address
3303 E Baseline Rd Ste 109, Gilbert, AZ, 85041-8609
Phone Number
480-900-8765
Fax Number
Provider Enumeration Date
11/22/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3303 E Baseline Rd Ste 109
City
Gilbert
State
Arizona
Zip
85234-2739
Phone Number
480-900-8765
Fax Number
person
Provider Business Mailing Address Details
Address
3303 E Baseline Rd Ste 109
City
Gilbert
State
Arizona
Zip
85234-2739
Phone Number
480-900-8765
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LAC-21287 (Arizona)
Definition
Definition to come...
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