Individual
MR. MARIO KOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3306 W CATALINA DR, PHOENIX, AZ 85017-5291
(602) 353-0703
(602) 353-0715
Mailing address
4747 N 7TH ST, STE. 100, PHOENIX, AZ 85014-3653
(602) 279-7655
(602) 264-1806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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