Doctor Name: | SARA LISTAR-GUEST |
NPI Number: | 1326407032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT |
License Number: | 15147 |
Business Practice Address: | 4420 S 32nd St Phoenix, AZ - 850402804 |
Business Phone Number: | 6022688748 |
Business Fax Number: | 6022531557 |
Mailing Address: | 3450 N 3rd St, PHOENIX |
State: | AZ |
Postal Code: | 850122331 |
Phone Number: | 6022579339 |
Fax Number: | 6022658533 |
NPI Enumeration Date: | 02/23/2016 |
NPI Last Update Date: | 02/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 15147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |