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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC-21287 (AZ)

Mental Health Counselor: Definition to come...

23 other providers at this address

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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.