Doctor Name: | MARY STRASSER |
NPI Number: | 1144560020 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC/LISAC |
License Number: | LPC-10759 |
Business Practice Address: | 13395 N Marana Main St Bldg B Marana, AZ - 856537008 |
Business Phone Number: | 5206821091 |
Business Fax Number: | 5206823801 |
Mailing Address: | Po Box 188, Marana Health Center MARANA |
State: | AZ |
Postal Code: | 856530188 |
Phone Number: | 5206824111 |
Fax Number: | 5208183630 |
NPI Enumeration Date: | 02/28/2013 |
NPI Last Update Date: | 02/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-10759 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |