Cuyar, Marco Antonio

Cuyar, Marco Antonio is an sole proprietor health care provider with primary practice located at 1234 S Power Rd Suite 201, Mesa AZ 85206-3700. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cuyar, Marco Antonio can be contacted via phone (480) 497-4720.

Contact Information

Primary practice address
1234 S Power Rd Suite 201 Mesa AZ 85206-3700
Phone: (480) 497-4720
Fax: (480) 284-7278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-10577 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-10810 Arizona

Profile Details

NPI number 1306832704
LBN Legal business name Cuyar, Marco Antonio
Credentials MS, LPC, LISAC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Apr 30th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306832704 NPPES
Arizona MEDICAID 831546

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