Doctor Name: | MELISA THESING |
NPI Number: | 1649230566 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW-10790 |
Business Practice Address: | 635 E Baseline Rd Phoenix, AZ - 850426551 |
Business Phone Number: | 6022437277 |
Business Fax Number: | 6022431235 |
Mailing Address: | 2702 N 3rd St, PHOENIX |
State: | AZ |
Postal Code: | 850044608 |
Phone Number: | 6023233407 |
Fax Number: | 6023233496 |
NPI Enumeration Date: | 03/24/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LCSW-10790 |
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 |