Individual
DR. HEATHER REBECCA KOUTSOGIANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1830 S ALMA SCHOOL RD STE 112, MESA, AZ 85210-3086
(480) 730-6222
Mailing address
1830 S ALMA SCHOOL RD STE 112, MESA, AZ 85210-3086
(480) 730-6222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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