Individual
DAISY MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
470 W CLEVELAND ST, SAINT JOHNS, AZ 85936-4501
(928) 337-4301
(928) 337-2269
Mailing address
PO BOX 579, SAINT JOHNS, AZ 85936-0579
(928) 337-4301
(928) 337-2269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC19120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC19120
STATE OF ARIZONA LICENSE
AZ
Enumeration date
08/14/2020
Last updated
08/14/2020
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