Healthcare Provider Details

I. General information

NPI: 1952249518
Provider Name (Legal Business Name): MARIA DONAJI MARINERO LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4657 S LAKESHORE DR STE 1
TEMPE AZ
85282-7170
US

IV. Provider business mailing address

2582 N BLACK ROCK RD
BUCKEYE AZ
85396-1808
US

V. Phone/Fax

Practice location:
  • Phone: 480-718-1261
  • Fax:
Mailing address:
  • Phone: 623-806-9121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-24671
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: