Individual
KELSI ANNE RATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18301 N 79TH AVE STE C133, GLENDALE, AZ 85308-8471
(623) 748-3337
(623) 234-3751
Mailing address
18301 N 79TH AVE STE C133, GLENDALE, AZ 85308-8471
(623) 748-3337
(623) 234-3751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-17140
AZ
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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