Individual
MRS. LOURDES M IANNELLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
7165 E UNIVERSITY DR, SUITE 188-1, MESA, AZ 85207-6400
(602) 578-5682
(480) 355-4101
Mailing address
209 N GREENWOOD, MESA, AZ 85207-7544
(602) 578-5682
(480) 355-4101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 11743
AZ
Other
Enumeration date
09/22/2005
Last updated
07/08/2007
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