Individual
KATHLEEN JO BURI-BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
3095 CORONADO TRAIL, RIMROCK, AZ 86335-0230
(928) 567-1322
(928) 567-1323
Mailing address
PO BOX 230, RIMROCK, AZ 86335-0230
(928) 567-1322
(928) 567-1323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14540
AZ
Other
Enumeration date
05/08/2013
Last updated
05/21/2014
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