Individual
KATHRYN ATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6425 W MONTEGO LN, GLENDALE, AZ 85306-3145
(602) 402-5438
Mailing address
6425 W MONTEGO LN, GLENDALE, AZ 85306-3145
(602) 402-5438
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-0543
AZ
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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