Provider Demographics
NPI:1588966113
Name:MUNOZ, MARIA VICTORIA (LPC)
Entity type:Individual
Prefix:MS
First Name:MARIA VICTORIA
Middle Name:
Last Name:MUNOZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 EAST MARYLAND AVE
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1448
Mailing Address - Country:US
Mailing Address - Phone:602-373-6461
Mailing Address - Fax:
Practice Address - Street 1:1536 E MARYLAND AVE
Practice Address - Street 2:SUITE A-100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-1469
Practice Address - Country:US
Practice Address - Phone:602-373-6461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 12340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health