Individual
REBECCA SISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21448 N 75TH AVE STE 6, GLENDALE, AZ 85308-5978
(602) 620-2874
Mailing address
5613 W MERCER LN, GLENDALE, AZ 85304-3805
(602) 466-8860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08171T
AZ
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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