Individual
KRISTI PROCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
21448 N 75TH AVE, SUITE 11, GLENDALE, AZ 85308-5978
(623) 572-8053
Mailing address
1105 E TONOPAH DR, PHOENIX, AZ 85024-9108
(602) 738-8300
(623) 581-9319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC13937
AZ
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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