Individual
KRISTIE BRASELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
4864 E BASELINE RD STE 106, MESA, AZ 85206-4629
(480) 877-1486
Mailing address
18915 E MEWS RD, QUEEN CREEK, AZ 85142-9405
(480) 650-5519
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10926
AZ
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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