Mark Charles Conway, LAC

NPI #1235791542 in Peoria, Arizona

Provider Information

NPI Number: 1235791542
Entity Type: Individual
Name: Mark Charles Conway, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Jul 8, 2019
Last Updated: Jul 8, 2019

Practice Location

Address: 8466 W PEORIA AVE STE 6
City: Peoria
State: Arizona
ZIP Code: 85345-6548
Phone: (602) 497-3836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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