Individual
MARISA EDMONSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2345 S ALMA SCHOOL RD STE 105, MESA, AZ 85210-4013
(480) 206-4753
Mailing address
2345 S ALMA SCHOOL RD STE 105, MESA, AZ 85210-4013
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC08353T
AZ
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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