Individual
MS. KERI JO MCWETHY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3220 E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
Mailing address
3250 E 40TH ST, YUMA, AZ 85365-7748
(928) 341-0335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
929101
AHCCCS #
AZ
Enumeration date
06/03/2006
Last updated
07/08/2007
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