Organization
MARCY MEVORACH, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCY MEVORACH LCSW (SOLE MEMBER)
(480) 707-2885
Entity
Organization
Contact information
Practice address
8687 E VIA DE VENTURA STE 308, SCOTTSDALE, AZ 85258-3349
(480) 707-2885
(480) 563-7703
Mailing address
8687 E VIA DE VENTURA STE 308, SCOTTSDALE, AZ 85258-3349
(480) 707-2885
(480) 563-7703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403418
—
AZ
Enumeration date
01/10/2018
Last updated
01/10/2018
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