Individual
LARRY JAY SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LISAC
Contact information
Practice address
10710 E MEDINA AVE, MESA, AZ 85209-3213
(602) 740-4562
Mailing address
10710 E MEDINA AVE, MESA, AZ 85209-3213
(602) 740-4562
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC11750
AZ
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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