Individual
TOM KIRSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
635 E BASELINE RD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 243-1235
Mailing address
2702 N 3RD ST, PHOENIX, AZ 85004-4608
(602) 323-3407
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1882
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854671
—
AZ
Enumeration date
03/23/2006
Last updated
07/09/2007
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