Individual
MS. DIANE MOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC LPC
Contact information
Practice address
2201 E MYRTLE, PHOENIX, AZ 85020-5627
(602) 997-8551
Mailing address
2201 E MYRTLE, PHOENIX, AZ 85020-5627
(602) 997-8551
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC11839
AZ
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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