Individual provider · Type 1 NPI
Therese Dautheribes, M.C.
Professional Counselor · Phoenix, AZ
NPI number
1902956592
Active
Practice location
13838 S 46th Pl, Ste 110
Phoenix, AZ 85044-7800
Fax (480) 763-1352
Mailing address
PO Box 50386
Phoenix, AZ 85076-0386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-2032 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1902956592
Therese Dautheribes, M.C.'s National Provider Identifier is 1902956592, issued on Jan 12, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.