Individual
MICHAEL AARON MEDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSC/MFT LPC
Contact information
Practice address
3048 E BASELINE RD, SUITE 108, MESA, AZ 85204-7286
(480) 962-4357
(480) 339-7182
Mailing address
3048 E BASELINE RD, SUITE 108, MESA, AZ 85204-7286
(480) 962-4357
(480) 339-7182
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-13907
AZ
Other
Enumeration date
05/13/2010
Last updated
09/07/2012
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