Individual
REBECCA A TANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
8253 W THUNDERBIRD RD, PEORIA, AZ 85381-4616
(623) 776-2456
Mailing address
8155 N 13TH WAY, PHOENIX, AZ 85020-3893
(602) 504-0202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11518
AZ
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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