Individual
MRS. KATHERINE DIANE BOGUSHEFSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
16515 S 40TH ST, #139, PHOENIX, AZ 85048-0558
(480) 205-4040
(480) 785-1647
Mailing address
16515 S 40TH ST STE 139, PHOENIX, AZ 85048-0560
(480) 205-4040
(480) 785-1647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-10681
AZ
Other
Enumeration date
10/20/2005
Last updated
05/27/2010
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