Individual
MRS. JULIANNE SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2990 N LITCHFIELD RD STE 7, GOODYEAR, AZ 85395-7800
(602) 842-2754
Mailing address
5416 W COLES RD, LAVEEN, AZ 85339-7143
(303) 359-4539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23159
AZ
Other
Enumeration date
07/12/2024
Last updated
07/15/2024
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