Individual
KALLI KIM BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2850 E CAMELBACK RD, PHOENIX, AZ 85016-4311
(602) 975-8959
Mailing address
2850 E CAMELBACK RD, PHOENIX, AZ 85016-4311
(602) 975-8959
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LAC-23227
AZ
Other
Enumeration date
06/15/2023
Last updated
11/21/2024
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