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Individual

LISA MARIE ANGELINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1830 N DAYTON ST, PHOENIX, AZ 85006-2137
(602) 330-6378
Mailing address
18844 N 3RD AVE, PHOENIX, AZ 85027-5600
(602) 330-6378

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC-13194
AZ
101YM0800X
Mental Health Counselor
LPC-13194
AZ
101YP2500X
Professional Counselor
Primary
LPC-13194
AZ

Other

Enumeration date
07/07/2009
Last updated
07/07/2009
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