Individual
KATHLEEN HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40 E MITCHELL DR STE 100, PHOENIX, AZ 85012-2330
(602) 599-5610
Mailing address
18444 N 25TH AVE STE 420, PHOENIX, AZ 85023-1268
(623) 349-4344
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17930
AZ
Other
Enumeration date
03/13/2019
Last updated
04/28/2021
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