Individual
MR. MARK SEBASTIAN LOESER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4635 S LAKESHORE DR, SUITE 116, TEMPE, AZ 85282-7127
(480) 345-4531
(480) 345-4563
Mailing address
4635 S LAKESHORE DR, SUITE 116, TEMPE, AZ 85282-7127
(480) 345-4531
(480) 345-4563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1288
AZ
Other
Enumeration date
12/31/2006
Last updated
07/08/2007
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