Individual
MR. MARCO ANTONIO CUYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LISAC, NCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10577
AZ
101YP2500X
Professional Counselor
Primary
LPC-10810
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
831546
—
AZ
Enumeration date
09/22/2005
Last updated
04/30/2012
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