Individual
DEANNA KIESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
5245 N MAIN DR, APACHE JUNCTION, AZ 85120-8708
(602) 881-2406
Mailing address
5245 N MAIN DR, APACHE JUNCTION, AZ 85120-8708
(602) 881-2406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17429
AZ
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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