Individual
MR. KERRY VAN VOLKINBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA,LPC
Contact information
Practice address
291 W. CASA BLANCA RD, SACATON, AZ 85147-0001
(520) 562-3321
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14034
AZ
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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