Individual
KRISTOFFER J KEUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC (LICENSED ASSOCI
Contact information
Practice address
4545 N. 36TH ST SUITE, PHOENIX, AZ 85018
(602) 558-1710
(480) 946-7795
Mailing address
4545 N. 36TH ST SUITE, PHOENIX, AZ 85018
(602) 558-1710
(480) 946-7795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-15786
AZ
Other
Enumeration date
10/20/2015
Last updated
08/24/2023
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