Individual
KIRSTIN YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6153 W OLIVE AVE, GLENDALE, AZ 85302-4564
(602) 685-6000
(623) 937-2589
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-16087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166506
—
AZ
Enumeration date
06/27/2013
Last updated
11/23/2016
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