Individual
KATIE MARIE CHATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E GURLEY ST STE 200, PRESCOTT, AZ 86301-3245
(928) 899-9677
Mailing address
914 E GURLEY ST STE 200, PRESCOTT, AZ 86301-3245
(928) 899-9677
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC22765
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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