Individual
KIESHA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CMHC, LPC
Contact information
Practice address
1110 W ELLIOT RD # 1257, TEMPE, AZ 85284-1107
(801) 784-8238
Mailing address
1110 W ELLIOT RD # 1257, TEMPE, AZ 85284-1107
(801) 784-8238
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
12665008-6004
UT
101YP2500X
Professional Counselor
Primary
LPC-23307
AZ
101YP2500X
Professional Counselor
LPC.0019780
CO
Other
Enumeration date
12/26/2022
Last updated
03/11/2025
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