Individual
LAURA HEINZEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17235 N 75TH AVE, GLENDALE, AZ 85308-0831
(844) 385-3747
Mailing address
16845 N 31ST DR, PHOENIX, AZ 85053-3015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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