Individual
MS. KARYLANN CONVERSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1789 W JEFFERSON ST, PHOENIX, AZ 85007-3202
(602) 896-7928
Mailing address
PO BOX 6123, PHOENIX, AZ 85005-6123
(602) 532-9960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/24/2007
Last updated
01/27/2023
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