Organization
BRILLIANT SKY COUNSELING, PLLC
Active
Organization
BRILLIANT SKY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORAINE ANN KERN LPC (COUNSELOR)
(602) 753-6841
Entity
Organization
Contact information
Practice address
2929 N POWER RD, SUITE 101, MESA, AZ 85215-1745
(602) 753-6841
Mailing address
5936 E FOUNTAIN ST, MESA, AZ 85205-5566
(480) 641-1382
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
13954
AZ
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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