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Individual

KATRINA SHAUNAY BROWN HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
14240 N 43RD AVE, GLENDALE, AZ 85306-4511
(602) 866-8850
Mailing address
PO BOX 2968, PEORIA, AZ 85380-2968
(480) 202-9369

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-16356
AZ
101YP2500X
Professional Counselor
Primary
LPC-18784
AZ

Other

Enumeration date
04/17/2019
Last updated
03/11/2020
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