Individual
LIZABETH DE LOERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7301 N 16TH ST STE 102, PHOENIX, AZ 85020-5266
(928) 421-2484
Mailing address
1432 E SAINT CHARLES AVE, PHOENIX, AZ 85042-4447
(602) 487-7520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17178
AZ
Other
Enumeration date
04/04/2018
Last updated
08/27/2019
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