Individual provider · Type 1 NPI

Marissa Ann Widener, LPC

Professional Counselor · Phoenix, AZ

NPI number 1104525880 Active

Practice location

3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806

Call (602) 230-7373 Map

Fax (602) 682-7455

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635

Other practice locations

  • 2211 E Highland Ave Ste 205, Phoenix, AZ 85016-4834 · (888) 661-2742

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLPC-24585 (AZ)
Professional Counselor Primary 101YP2500XLPC-24585 (AZ)

Professional Counselor: Definition to come...

89 other providers at this address

Other professional counselor providers in Phoenix

See all in Phoenix →

About NPI 1104525880

Marissa Ann Widener, LPC's National Provider Identifier is 1104525880, issued on Mar 1, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 10, 2026.