Individual
JO ANN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
14045 N 7TH ST STE 4, PHOENIX, AZ 85022-4387
(602) 993-4595
Mailing address
5407 E KELTON LN, SCOTTSDALE, AZ 85254-1109
(602) 788-6287
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-140
AZ
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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