Individual
MELISSA KINWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LASAC
Contact information
Practice address
2115 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 831-9533
Mailing address
2115 E SOUTHERN AVE, TEMPE, AZ 85282-7503
(480) 831-9533
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13241
AZ
Other
Enumeration date
09/13/2017
Last updated
07/21/2022
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