Individual
MISS JO ANN COLLINS-WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LISAC, CCTP
Contact information
Practice address
4447 E BROADWAY RD STE 106, MESA, AZ 85206-2018
(480) 964-3914
(480) 300-4128
Mailing address
4447 E BROADWAY RD STE 106, MESA, AZ 85206-2018
(480) 964-3914
(480) 300-4128
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-15061
AZ
101YP2500X
Professional Counselor
Primary
LPC-16575
AZ
Other
Enumeration date
06/24/2009
Last updated
03/11/2020
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