Individual
MRS. CATHYANN M HERSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MC
Contact information
Practice address
4121 E VALLEY AUTO DR, SUITE 122, MESA, AZ 85206-4631
(602) 285-9696
Mailing address
4065 E VAUGHN AVE, GILBERT, AZ 85234-0742
(480) 296-3823
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC10882
AZ
Other
Enumeration date
05/02/2007
Last updated
02/16/2016
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