Individual
KATHLEEN TYRAKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15170 N HAYDEN RD STE 1, SCOTTSDALE, AZ 85260-2571
(480) 400-2560
Mailing address
9834 E THATCHER AVE, MESA, AZ 85212-8498
(760) 586-4635
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-23423
AZ
Other
Enumeration date
03/24/2025
Last updated
06/12/2026
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