Individual
LINDA GUADALUPE FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2120 S MCCLINTOCK DR STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE STE 735, TEMPE, AZ 85282-5699
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17590
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-17590
LICENSE
AZ
Enumeration date
01/29/2019
Last updated
01/29/2019
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