Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonny Marguerite Beach, LISAC

Individual provider Counselor · NPI 1578999041

Bonny Marguerite Beach, LISAC is a Counselor in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2013.

Licensed in
AZ
In the registry since
2013
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Practice location Address checks out

1648 S 16th St
Phoenix, AZ 85034-5340
Phone: (602) 448-0935
Fax: (602) 532-7202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LISAC 11484 (AZ)

Record details

NPI number1578999041
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISAC
Sole proprietorNo
NPI enumeratedSeptember 17, 2013
Last updated in NPPESSeptember 17, 2013

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