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NPI Code Detail

MEDICARE: CLARE D VISNANSKY

MEDICARE: CLARE D VISNANSKY
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
1101YP2500XProfessional CounselorAZ

General Provider Information

NPI Number : 1710844378
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLARE D VISNANSKY
Provider Business Mailing Address
First Line : 5861 E STAR VALLEY ST
Second Line :
City : MESA
State : AZ
Zip : 85215-9667
Country : US
Telephone Number : 480-389-6971
Fax Number :
Provider Business Practice Location Address
First Line : 7272 E INDIAN SCHOOL RD STE 540
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-3996
Country : US
Telephone Number : 480-389-6971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ CLARE D VISNANSKY ” Practice Location

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