Individual
BRIDGET KIEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2120 S MCCLINTOCK DR, STE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE, STE. 735, TEMPE, AZ 85282-5691
(480) 804-0326
(480) 302-7884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC2125
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282035
—
AZ
01
—
LPC2125
STATE LICENSE
AZ
Enumeration date
10/24/2007
Last updated
02/04/2016
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