Individual
NATALIE STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
3651 E BASELINE RD STE E-120, GILBERT, AZ 85234-2689
(602) 503-3100
Mailing address
6600 S MCKEMY ST, TEMPE, AZ 85283-3549
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-18317
AZ
101YP2500X
Professional Counselor
Primary
LAC-18317
AZ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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