Individual
KRISTINE BRAZZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC
Contact information
Practice address
3707 E SOUTHERN AVE, 1008, MESA, AZ 85206-2569
(480) 228-2367
Mailing address
PO BOX 13051, MESA, AZ 85216-3051
(480) 228-2367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC-2390
AZ
103TC0700X
Clinical Psychologist
Primary
3823
AZ
Other
Enumeration date
02/05/2007
Last updated
06/01/2009
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