Organization
GROWTH SPACE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MCCLEARN LPC (MENTAL HEALTH COUNSELOR/ CLINICIAN)
(602) 845-0707
Entity
Organization
Contact information
Practice address
8601 N BLACK CANYON HWY STE 103OFC10, PHOENIX, AZ 85021-4109
(602) 845-0707
(602) 296-0398
Mailing address
8601 N BLACK CANYON HWY STE 103OFC10, PHOENIX, AZ 85021-4109
(602) 845-0707
(602) 296-0398
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
12/22/2020
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