Individual
MS. MARY ELIZABETH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
4966 W BLACK STALLION DR, PRESCOTT, AZ 86305-4569
(928) 778-6719
(928) 778-6717
Mailing address
PO BOX 10686, PRESCOTT, AZ 86304-0686
(928) 778-6719
(928) 778-6717
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10014
AZ
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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