Individual
LINDA RAE PLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
145 W JUANITA AVE STE 1-1, MESA, AZ 85210-6128
(480) 889-4764
(480) 889-4764
Mailing address
4250 E BALSAM AVE, MESA, AZ 85206-1134
(480) 889-4764
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-12655
AZ
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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