Individual
DIAMOND KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9350 N 67TH AVE APT 213, GLENDALE, AZ 85302-3963
(623) 800-4102
Mailing address
9350 N 67TH AVE APT 213, GLENDALE, AZ 85302-3963
(623) 800-4102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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