Individual
COREEN MARIE TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
4201 N 16TH ST STE 250, PHOENIX, AZ 85016-5375
(602) 248-9247
(602) 248-8936
Mailing address
4201 N 16TH ST STE 250, PHOENIX, AZ 85016-5375
(602) 248-9247
(602) 248-8936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-13450
AZ
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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