Individual
LIZETH BANUELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 N POWER RD STE 127, MESA, AZ 85215-2911
(480) 847-2800
Mailing address
PO BOX 127, KEOKUK, IA 52632-0127
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-24934
AZ
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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