Provider Demographics
NPI:1467074336
Name:DALESSIO, NATALIE D (LPC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:D
Last Name:DALESSIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:D
Other - Last Name:RUGGIERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6804 N 10TH PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-1020
Mailing Address - Country:US
Mailing Address - Phone:480-809-8809
Mailing Address - Fax:
Practice Address - Street 1:2444 E UNIVERSITY DR STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6934
Practice Address - Country:US
Practice Address - Phone:602-304-0014
Practice Address - Fax:602-304-0190
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18901101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health