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Individual

KERRIE CHURCHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPC

Contact information

Practice address
2990 E NORTHERN AVE STE A100, PHOENIX, AZ 85028-4834
(602) 525-6049
Mailing address
2990 E NORTHERN AVE STE A100, PHOENIX, AZ 85028-4834
(602) 525-6049

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-24149
AZ

Other

Enumeration date
08/21/2025
Last updated
08/21/2025
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