Individual
EMILY LANDSEADAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-4227
(602) 685-6000
(602) 275-1355
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
180009802
IL
101YM0800X
Mental Health Counselor
180009802
IL
101YP2500X
Professional Counselor
Primary
17643
AZ
Other
Enumeration date
03/03/2016
Last updated
08/31/2021
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