Individual
ALISA IRONSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1141 E COOLEY ST STE L, SHOW LOW, AZ 85901-5100
(928) 205-1798
Mailing address
PO BOX 1358, SHOW LOW, AZ 85902-1358
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-15886
AZ
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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