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General NPI Number Information
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NPI Number | 1093459075
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Entity Type | Individual
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Provider Name | GILBERTO ANDRES SONNY MENO-GUTIERREZ LPC
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Gender | Male
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 10000 N 31ST AVE STE D407
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City | PHOENIX
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State | AZ
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Zip | 85051-1352
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Country | US
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Telephone | 602-718-1266
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 E GLENROSA AVE
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City | PHOENIX
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State | AZ
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Zip | 85014-4435
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Country | US
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Telephone | 602-799-9727
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC-21793
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LAC-19054
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-21793
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License Number State | AZ
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