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General NPI Number Information
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NPI Number | 1619211844
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Entity Type | Individual
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Provider Name | LISA M. CORBETT MSC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/09/2012
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 3344 E BEHREND DRIVE
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City | PHOENIX
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State | AZ
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Zip | 85050-9568
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Country | US
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Telephone | 602-456-5259
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Fax | 602-997-1305
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Provider Business Mailing Address
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Address Line | 3218 E BELL ROAD, #2124
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City | PHOENIX
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State | AZ
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Zip | 85032
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Country | US
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Telephone | 602-370-2669
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Fax | 602-997-1305
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-13499
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License Number State | AZ
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