Individual
MICHAEL PELAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAMFT-T
Contact information
Practice address
7227 N 16TH ST STE 219, PHOENIX, AZ 85020-5257
(602) 492-7150
Mailing address
7227 N 16TH ST STE 219, PHOENIX, AZ 85020-5257
(602) 492-7150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15528
AZ
106H00000X
Marriage & Family Therapist
Primary
LAMFT-08156T
AZ
Other
Enumeration date
06/22/2022
Last updated
04/20/2026
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