Individual
MARC E BAGNASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2700 N. 3RD STREET, SUITE 2008, PHOENIX, AZ 85004
(602) 264-4600
(602) 264-7325
Mailing address
2700 N. 3RD STREET, SUITE 2008, PHOENIX, AZ 85004
(602) 264-4600
(602) 264-7325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11119
AZ
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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