Individual
MRS. COLLEEN MARY KELLY-PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.C.
Contact information
Practice address
2111 E BASELINE RD, SUITE A-4, TEMPE, AZ 85283-1516
(480) 775-7400
(480) 775-7406
Mailing address
1840 E WARNER RD, 105-127, TEMPE, AZ 85284-3437
(480) 775-7400
(480) 775-7406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-0541
AZ
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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