Individual
MARI OXENTENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1840 N 95TH AVE STE 160, PHOENIX, AZ 85037-4313
(623) 234-9811
(623) 234-9815
Mailing address
4747 N 7TH ST STE 100, PHOENIX, AZ 85014-3654
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17749
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468914
—
AZ
Enumeration date
12/20/2018
Last updated
08/10/2022
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