Individual
MRS. DORNA SUE MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC., LPC.
Contact information
Practice address
3707 E SOUTHERN AVE STE 2014, MESA, AZ 85206-6213
(480) 688-5864
Mailing address
3707 E SOUTHERN AVE STE 2014, MESA, AZ 85206-6213
(480) 688-5864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC-11733
AZ
101YP2500X
Professional Counselor
Primary
LPC-11733
AZ
Other
Enumeration date
10/07/2005
Last updated
10/29/2019
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