Provider Demographics
NPI:1023223005
Name:NAJERA, SUZY ZAMORA (LISAC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SUZY
Middle Name:ZAMORA
Last Name:NAJERA
Suffix:
Gender:F
Credentials:LISAC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25190 S 190TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85242-6304
Mailing Address - Country:US
Mailing Address - Phone:480-298-8852
Mailing Address - Fax:480-993-3383
Practice Address - Street 1:25190 S 190TH ST
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85242-6304
Practice Address - Country:US
Practice Address - Phone:480-298-8852
Practice Address - Fax:480-993-3383
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-10699101YA0400X
AZLPC-12688101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional