Individual provider · Type 1 NPI
Lisa Marie Medeiros, MS, LAC
Mental Health Counselor · Gilbert, AZ
NPI number
1760191209
Active
Practice location
3303 E Baseline Rd Ste 109
Gilbert, AZ 85234-2739
Mailing address
9247 S 15th Ave
Phoenix, AZ 85041-8609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LAC-21287 (AZ) |
Mental Health Counselor: Definition to come...
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- Jennifer JohnsonMental Health Counselor Gilbert, AZ NPI 1033033543
- Brenna Peck, LPCMental Health Counselor Gilbert, AZ NPI 1033734033
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About NPI 1760191209
Lisa Marie Medeiros, MS, LAC's National Provider Identifier is 1760191209, issued on Nov 22, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gilbert, AZ. The record was last updated on Nov 22, 2022.