Individual
SIERRA MEDINA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7151 W CAMBRIDGE AVE, PHOENIX, AZ 85035-1314
(602) 266-5976
Mailing address
7151 W CAMBRIDGE AVE, PHOENIX, AZ 85035-1314
(602) 266-5976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-22123
AZ
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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