Individual
KAISA ASUNTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LAC
Contact information
Practice address
40411 N GLEN MEADOWS LN, QUEEN CREEK, AZ 85140-5650
(480) 256-2208
Mailing address
40411 N GLEN MEADOWS LN, QUEEN CREEK, AZ 85140-5650
(480) 256-2208
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19836
AZ
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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