Individual
MAURA RUTH ANNALYSSE TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1854 E INTREPID AVE, MESA, AZ 85204-6817
(480) 600-0548
Mailing address
101 N 1ST AVE STE 2310, PHOENIX, AZ 85003-1902
(312) 578-9990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19829
AZ
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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