Individual
MICHAEL ANGELO PICIUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
18301 N 79TH AVE STE B125, GLENDALE, AZ 85308-8463
(623) 537-7233
Mailing address
18301 N 79TH AVE STE B125, GLENDALE, AZ 85308-8463
(623) 537-7233
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15647
AZ
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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