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Individual

KRISTEN BURNSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
18789 N REEMS RD, SURPRISE, AZ 85374-8648
(623) 337-0946
Mailing address
14264 W VENTURA ST, SURPRISE, AZ 85379-8687
(623) 337-0946

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-15503
AZ

Other

Enumeration date
06/16/2016
Last updated
01/27/2020
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