Individual
KIM E LETENDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC, LAC
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(603) 866-6019
Mailing address
11162 W PIERCE ST, AVONDALE, AZ 85323-7915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23824
AZ
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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