Individual
MRS. KIM R. DIRE'
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MED, SEP, DBH
Contact information
Practice address
10613 N. HAYDEN RD, SUITE J-100, SCOTTSDALE, AZ 85260
(480) 206-4646
Mailing address
10613 N. HAYDEN RD, SUITE J-100, SCOTTSDALE, AZ 85260
(480) 206-4646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13344
AZ
Other
Enumeration date
10/12/2009
Last updated
10/28/2021
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