Organization
KOKORO TRANSITIONAL RECOVERY AND COUNSELING SERVICES
Active
Other names
Kokoro transitional recovery and counseling services
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE L GONZALEZ LPC,LISAC (OWNER - CLINICAL THERAPIST)
(602) 793-7609
Entity
Organization
Contact information
Practice address
575 S 143RD AVE, GOODYEAR, AZ 85338-3005
(602) 793-7609
Mailing address
575 S 143RD AVE, GOODYEAR, AZ 85338-3005
(602) 793-7609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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