Individual
MS. CYNTHIA KELSEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1930 S ALMA SCHOOL RD STE A104, MESA, AZ 85210-3065
(480) 820-0825
(480) 820-7863
Mailing address
4220 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 279-7655
(602) 241-5756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC12473
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC12473
LICENSE
AZ
Enumeration date
06/25/2007
Last updated
07/08/2007
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