Individual
LISA MARIE PERSAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(480) 269-2238
Mailing address
8405 W OLIVE AVE UNIT 1070, PEORIA, AZ 85345-7237
(347) 489-7910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22599
AZ
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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