Provider Demographics
NPI:1639800543
Name:ESMEIER, MARSHA ANN (LAC)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:ANN
Last Name:ESMEIER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15993 W MORNING VISTA LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-6255
Mailing Address - Country:US
Mailing Address - Phone:623-229-1672
Mailing Address - Fax:
Practice Address - Street 1:15993 W MORNING VISTA LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-6255
Practice Address - Country:US
Practice Address - Phone:623-229-1672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-16220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health