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NPI Code Detail

MEDICARE: SARA LISTAR-GUEST LMFT

MEDICARE: SARA LISTAR-GUEST LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor15147AZ

General Provider Information

NPI Number : 1326407032
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA LISTAR-GUEST LMFT
Provider Business Mailing Address
First Line : 3450 N 3RD ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85012-2331
Country : US
Telephone Number : 602-257-9339
Fax Number : 602-265-8533
Provider Business Practice Location Address
First Line : 4420 S 32ND ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85040-2804
Country : US
Telephone Number : 602-268-8748
Fax Number : 602-253-1557
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 02/23/2016

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Directions to “ SARA LISTAR-GUEST LMFT” Practice Location

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