Organization
MARINA A. GRECO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA A GRECO M.A. (LPC)
(602) 920-1222
Entity
Organization
Contact information
Practice address
2345 E THOMAS RD, SUITE 385, PHOENIX, AZ 85016-7848
(602) 955-3429
(602) 955-3430
Mailing address
3429 E WILDWOOD DR, PHOENIX, AZ 85048-7235
(602) 920-1222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2159
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013087006
INDIVIDUAL NPI #
AZ
01
—
831992
AHCCCS PROVIDER #
AZ
Enumeration date
11/09/2006
Last updated
08/22/2020
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