Individual
ETHAN MICHAEL ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MAS-MFT, LMFT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-1000
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMFT-15432
AZ
106H00000X
Marriage & Family Therapist
Primary
LMFT-15432
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138094
—
AZ
Enumeration date
07/13/2023
Last updated
09/28/2023
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