Individual
KIMBERLY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
14290 S DIABLO DRIVE, ARIZONA CITY, AZ 85123
(520) 788-7300
Mailing address
20987 N JOHN WAYNE PKWY # B104-113, MARICOPA, AZ 85139-2926
(520) 251-1575
(520) 635-4758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2021
Last updated
09/18/2021
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