Individual provider · Type 1 NPI

Marisa Edmonston

Counselor · Mesa, AZ

NPI number 1689544108 Active

Practice location

2345 S Alma School Rd Ste 105
Mesa, AZ 85210-4013

Call (480) 206-4753 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC08353T (AZ)

Counselor: 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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About NPI 1689544108

Marisa Edmonston's National Provider Identifier is 1689544108, issued on Nov 10, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mesa, AZ. The record was last updated on Nov 10, 2025.