Individual
SUZANNE BASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2428 E APACHE BLVD, TEMPE, AZ 85281-4935
(480) 868-9613
Mailing address
2428 E APACHE BLVD, TEMPE, AZ 85281-4935
(480) 868-9613
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19907
AZ
Other
Enumeration date
11/04/2020
Last updated
01/10/2022
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