Individual
KATHLEEN HALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
204 N MOUNT VERNON AVE, 112 EAST MERRIT STREET, PRESCOTT, AZ 86301-3108
(928) 910-0198
Mailing address
204 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-3108
(928) 910-0198
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-14477
AZ
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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