Provider Demographics
NPI:1407448293
Name:O'CONNOR-STROUT, MAUREEN C (MC, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:C
Last Name:O'CONNOR-STROUT
Suffix:
Gender:F
Credentials:MC, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 E PIMA ST STE 110
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3691
Mailing Address - Country:US
Mailing Address - Phone:520-222-9361
Mailing Address - Fax:520-306-5054
Practice Address - Street 1:5210 E PIMA ST STE 110
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3691
Practice Address - Country:US
Practice Address - Phone:520-222-9361
Practice Address - Fax:520-306-5054
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11858101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional