Individual
LISA NAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 W PEORIA AVE STE A200, PHOENIX, AZ 85029-4699
(602) 525-2018
Mailing address
3201 W PEORIA AVE STE A200, PHOENIX, AZ 85029-4699
(602) 525-2018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
18507
AZ
Other
Enumeration date
10/07/2021
Last updated
09/17/2025
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