| Thomas John Amaya Sr, LCPC, LAC | |
|
9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 | |
| (480) 768-2000 | |
| (480) 768-2053 |
| Full Name | Thomas John Amaya Sr |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 9405 S Avenida Del Yaqui, Guadalupe, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386703106 | NPI | - | NPPES |
| 0256989 | Medicaid | MT | |
| 1101 | Other | MT | LICENSE FOR LAC |
| 778 | Other | MT | LICENSE FOR LCPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 778 (Montana) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1101 (Montana) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas John Amaya Sr, LCPC, LAC 4505 S Hardy Dr Apt 2121, Tempe, AZ 85282-6569 Ph: (406) 239-8749 | Thomas John Amaya Sr, LCPC, LAC 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283-2529 Ph: (480) 768-2000 |
Gloria M Rosales, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2087 Fax: 480-768-2053 | |
Cheryl Jean Jordan, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8409 S. Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-897-6202 | |
Michael N. Shanley, LCSW, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2026 Fax: 480-768-2053 | |
Mr. Michael Eric Koenig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2000 Fax: 480-768-2053 | |
Ms. Anne Murphy, LISAC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9405 S Avenida Del Yaqui, Guadalupe, AZ 85283 Phone: 480-768-2024 Fax: 480-768-2053 |