Individual
MRS. SILVIA TERESA GALLO VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5745 W CAMPBELL AVE, PHOENIX, AZ 85031-1842
(602) 999-7898
(480) 820-7863
Mailing address
13415 W CITRUS CT, LITCHIFIELD PARK, AZ 85340
(602) 999-7898
(480) 820-7863
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC11801
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC10617
THERAPIST
AZ
01
—
LPC11801
THERAPIST
AZ
Enumeration date
11/14/2006
Last updated
12/06/2011
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