Individual
LISA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(602) 284-4421
Mailing address
18217 W CAROL AVE, WADDELL, AZ 85355-4227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22970
AZ
Other
Enumeration date
07/26/2024
Last updated
08/12/2024
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