Provider Demographics
NPI:1427299940
Name:FINECEY, MICHAEL KENNETH (LPC, LISAC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:KENNETH
Last Name:FINECEY
Suffix:
Gender:M
Credentials:LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5150 N 16TH ST
Mailing Address - Street 2:C-162
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-3925
Mailing Address - Country:US
Mailing Address - Phone:602-678-3658
Mailing Address - Fax:602-626-5224
Practice Address - Street 1:5150 N 16TH ST
Practice Address - Street 2:C-162
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-3925
Practice Address - Country:US
Practice Address - Phone:602-678-3658
Practice Address - Fax:602-626-5224
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-11503101YA0400X
AZLPC-12362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)