Individual
MARY KINGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC
Contact information
Practice address
1934 E CAMELBACK RD STE 120-172, PHOENIX, AZ 85016-4126
(480) 882-7383
Mailing address
1934 E CAMELBACK RD STE 120-172, PHOENIX, AZ 85016-4126
(480) 882-7383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15409
AZ
Other
Enumeration date
03/01/2023
Last updated
04/09/2025
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