Individual
CRISTINA YTURRALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
6601 WEST THOMAS ROAD, PHOENIX, AZ 85033
(602) 243-7277
(623) 247-9742
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC 12985
AZ
101Y00000X
Counselor
Primary
LAC-12985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L:AC 12985
LICENSED ASSOCIATE COUNSELOR LICENSE
AZ
Enumeration date
07/28/2011
Last updated
01/05/2012
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