Individual
ELISSA MUNOZ-TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
77 E COLUMBUS AVE STE 210, PHOENIX, AZ 85012-2351
(602) 230-7373
(602) 761-2537
Mailing address
3620 N 3RD ST, PHOENIX, AZ 85012-2020
(602) 329-8250
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-17535
AZ
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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