Individual
JUDY A EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1801 S JENTILLY LN, SUITE #C2, TEMPE, AZ 85281-5758
(480) 829-9585
(480) 962-5282
Mailing address
1753 E BROADWAY RD, SUITE 101-259, TEMPE, AZ 85282-2081
(480) 829-9585
(480) 962-5282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW 2591
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2506001
VALUE OPTIONS
AZ
Enumeration date
11/21/2006
Last updated
07/08/2007
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