Individual
MAUREEN ANN FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11321 W BELL RD, SURPRISE, AZ 85378-9363
(623) 583-2523
Mailing address
23043 N 89TH AVE, PEORIA, AZ 85383-1854
(602) 390-4370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMFT-15171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07271969
—
AZ
Enumeration date
03/22/2019
Last updated
05/11/2026
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