Individual
MS. KIMBERLY E SACRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1802 E THOMAS RD, PHOENIX, AZ 85016-8134
(602) 685-6000
(602) 258-6140
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315348
—
AZ
Enumeration date
03/17/2008
Last updated
12/20/2016
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