Individual
KATHLEEN MARIE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2222 W PINNACLE PEAK RD STE 320, PHOENIX, AZ 85027-1229
(602) 703-2742
Mailing address
16814 N 46TH LN, GLENDALE, AZ 85306-1522
(623) 570-7436
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-21441
AZ
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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