Individual
MS. LILA C SIDERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
2500 N TUCSON BLVD STE 110, TUCSON, AZ 85716-2463
(520) 622-7368
Mailing address
2500 N TUCSON BLVD STE 110, TUCSON, AZ 85716-2463
(520) 622-7368
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-17241
AZ
101YP2500X
Professional Counselor
Primary
19368
AZ
Other
Enumeration date
01/30/2019
Last updated
03/06/2023
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