Individual
STACY R GERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1631 E GUADALUPE RD STE 102, TEMPE, AZ 85283-3935
(480) 409-5641
Mailing address
692 E COLT CT, CHANDLER, AZ 85225-1330
(520) 405-5211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC22304
AZ
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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