Individual
MR. MARCO ANTONIO CUYAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LISAC, NCC
Contact information
Practice address
1234 S POWER RD, SUITE 201, MESA, AZ 85206-3700
(480) 497-4720
(480) 284-7278
Mailing address
PO BOX 14524, MESA, AZ 85216-4524
(480) 497-4720
(480) 284-7278
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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