Provider Demographics
NPI:1316389893
Name:MONACO, VERENE CHRISTINW (PHD)
Entity Type:Individual
Prefix:DR
First Name:VERENE
Middle Name:CHRISTINW
Last Name:MONACO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 W PUGET AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-4415
Mailing Address - Country:US
Mailing Address - Phone:623-266-7325
Mailing Address - Fax:
Practice Address - Street 1:4115 E VALLEY AUTO DR
Practice Address - Street 2:203
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4606
Practice Address - Country:US
Practice Address - Phone:480-507-7880
Practice Address - Fax:480-507-8013
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health