Provider Demographics
NPI:1063535631
Name:STRAUS, MARY (LPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:
Last Name:STRAUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 N CAMPBELL AVE
Mailing Address - Street 2:SUITE 226
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6584
Mailing Address - Country:US
Mailing Address - Phone:520-999-0450
Mailing Address - Fax:520-795-0817
Practice Address - Street 1:4320 N CAMPBELL AVE
Practice Address - Street 2:SUITE 226
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6584
Practice Address - Country:US
Practice Address - Phone:520-999-0450
Practice Address - Fax:520-795-0817
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12508101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional