Individual
ISIS HUIZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1255 W BASELINE RD STE 138B, MESA, AZ 85202
(480) 456-2551
Mailing address
2155 E LIBERTY LN APT 187, PHOENIX, AZ 85048-8133
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-17406
AZ
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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