Individual
KIMBERLY JEAN WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E THUNDERBIRD RD STE 1-3, PHOENIX, AZ 85022-5306
(602) 230-7373
(602) 218-6383
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 473-2928
(602) 682-7455
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-20059
AZ
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
07/03/2013
Last updated
12/07/2023
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