Individual provider · Type 1 NPI
Lisa Marie Persaud, LAC
Mental Health Counselor · Phoenix, AZ
NPI number
1265295638
Active
Practice location
7301 N 16th St Ste 102
Phoenix, AZ 85020-5266
Mailing address
8405 W Olive Ave Unit 1070
Peoria, AZ 85345-7237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-22599 (AZ) |
Mental Health Counselor: Definition to come...
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About NPI 1265295638
Lisa Marie Persaud, LAC's National Provider Identifier is 1265295638, issued on Jan 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 30, 2024.