Provider Demographics
NPI:1992080204
Name:WHITE MARKLEY, SALLY KATHARINE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:KATHARINE
Last Name:WHITE MARKLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:
Other - Last Name:MARKLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, ATR
Mailing Address - Street 1:4848 E PLACITA ABREVADERO
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1253
Mailing Address - Country:US
Mailing Address - Phone:520-903-8877
Mailing Address - Fax:520-979-3562
Practice Address - Street 1:4806 E CAMP LOWELL DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1276
Practice Address - Country:US
Practice Address - Phone:520-903-8877
Practice Address - Fax:520-979-3562
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-18
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health