Individual
KELLY WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 W SUNNYSIDE DR, GLENDALE, AZ 85304-2532
(602) 300-7104
Mailing address
6020 W SUNNYSIDE DR, GLENDALE, AZ 85304-2532
(602) 300-7104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17493
AZ
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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