Individual
MRS. TRICIA MARIE HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
9014 S CENTRAL AVE, PHOENIX, AZ 85042-8304
(480) 276-4901
Mailing address
5140 E ONEIDA ST, PHOENIX, AZ 85044-3327
(480) 276-4901
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-08046T
AZ
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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