Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC-20558 | AZ |
NPI | 1003569526 |
---|---|
Provider Name | Yvonne Natalie Garcia |
First Address | Phoenix, AZ 85004-1731 |
Second Address | Phoenix, AZ 85021-4936 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2022 |
Last Update Date | 03/02/2022 |