Individual
LISA J DAUGHTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 E VALLEY AUTO DR, SUITE 122, MESA, AZ 85206-4631
(602) 285-9696
(602) 277-5930
Mailing address
125 BAYLISS ST STE 122, HUTTO, TX 78634-5575
(480) 287-0540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC - 13752
AZ
Other
Enumeration date
02/08/2013
Last updated
04/19/2021
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