Individual
MRS. MARY MICHAELLE HENNESSEY-PEIRCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7254 E SOUTHERN AVE, SUITE #123, MESA, AZ 85209
(602) 617-6595
Mailing address
975 E SCOTT AVE, GILBERT, AZ 85234
(480) 558-1065
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0579
AZ
1041C0700X
Clinical Social Worker
10373
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551263
VALUE OPTIONS
—
Enumeration date
11/01/2006
Last updated
09/11/2025
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