Individual
SANDRA C CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
13832 N 32ND ST STE 136C, PHOENIX, AZ 85032-5643
(623) 256-0021
Mailing address
4825 W DESERT HILLS DR, GLENDALE, AZ 85304-2932
(623) 256-0021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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