Individual
MS. MARY LYNN SIEVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC
Contact information
Practice address
6462 W PARK AVE, CHANDLER, AZ 85226-1146
(480) 705-5959
Mailing address
6462 W PARK AVE, CHANDLER, AZ 85226-1146
(480) 705-5959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11378
AZ
101YM0800X
Mental Health Counselor
Primary
11404
AZ
101YM0800X
Mental Health Counselor
6938
NC
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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