Individual
VALERIE SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3048 E BASELINE RD STE 108, MESA, AZ 85204-7287
(480) 744-5864
Mailing address
3048 E BASELINE RD STE 108, MESA, AZ 85204-7287
(480) 744-5864
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17009
AZ
Other
Enumeration date
01/11/2018
Last updated
07/24/2023
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