Organization
CORE CONNECT COUNSELING & CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE G PEREZ LPC (LICENSED PROFESSIONAL COUNSELOR)
(480) 428-8998
Entity
Organization
Contact information
Practice address
152 N POWER RD STE 2, MESA, AZ 85205-8436
(480) 428-8998
Mailing address
152 N POWER RD STE 2, MESA, AZ 85205-8436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16744
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326444324
PROVIDER NPI
AZ
Enumeration date
06/28/2018
Last updated
06/28/2018
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