Individual
COLLEEN CORAH HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11260 N TATUM BLVD, PHOENIX, AZ 85028-2307
(602) 614-4471
Mailing address
11260 N TATUM BLVD, PHOENIX, AZ 85028-2307
(602) 614-4471
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
08/01/2024
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