Individual
COURTNEY ANN MEOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
34975 N NORTH VALLEY PKWY STE 152, PHOENIX, AZ 85086-4032
(480) 525-7091
Mailing address
34975 N NORTH VALLEY PKWY STE 152, PHOENIX, AZ 85086-4032
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-18355
AZ
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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