Individual
MRS. MINDY BESS LACASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 955-7997
(602) 954-0980
Mailing address
3825 N 24TH ST, PHOENIX, AZ 85016-6512
(602) 955-7997
(602) 954-0980
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-12717
AZ
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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