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Individual

GINA MARINELLO-MCENTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
750 E THUNDERBIRD RD # 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-19853
AZ
101YP2500X
Professional Counselor
Primary
LPC-22718
AZ

Other

Enumeration date
05/16/2022
Last updated
02/06/2024
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