MEDICARE: AISLINN STEWART

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
1	101YP2500X	Professional Counselor	LPC23252	AZ

General Provider Information

NPI Number	:	1447089644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AISLINN STEWART

Provider Business Mailing Address
First Line	:	13794 W WADDELL RD STE 203
Second Line	:
City	:	SURPRISE
State	:	AZ
Zip	:	85379-8499
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11024 N 28TH DR STE 110A
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-4378
Country	:	US
Telephone Number	:	877-634-7333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	07/29/2024

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Directions to “ AISLINN STEWART ” Practice Location

Language	Start Address	Practice Location

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