Most Relevant Information
Provider Data
| NPI Number: | 1003483769 |
| Provider Name: | MARLO NICOLE WHITSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LPC-19954 |
Most Important Dates
| Enumeration Date: | 06/09/2021 |
| Last Updated: | 06/09/2021 |
Provider Practice Location
10201 S 51ST ST STE 150
PHOENIX
AZ
850445229
Practice Location Phone/Fax
| Phone: | 6023185921 |
| Fax: | 6026511244 |
Provider Mailing Location
10201 S 51ST ST STE 150
PHOENIX
AZ
850445229
Provider Mailing Phone/Fax
| Phone: | 6023185921 |
| Fax: | 6026511244 |