Individual
COURTNEY BETH KLEINEBREIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LISAC, LAC, BHP
Contact information
Practice address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-6955
(480) 733-3044
Mailing address
868 E UNIVERSITY DR, MESA, AZ 85203-8033
(480) 969-6955
(480) 733-3044
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC11401
AZ
101YM0800X
Mental Health Counselor
Primary
LAC11711
AZ
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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