Individual
CASILLE PEARL KRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18205 N 51ST AVE STE 131, GLENDALE, AZ 85308-1492
(602) 499-5329
Mailing address
4708 E LONE CACTUS DR, PHOENIX, AZ 85050-6160
(602) 909-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18350
AZ
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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