Individual
KIMBERLEY DIANNE JOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8959 E ASTER DR, SCOTTSDALE, AZ 85260-8437
(602) 366-9511
Mailing address
8959 E ASTER DR, SCOTTSDALE, AZ 85260-8437
(602) 366-9511
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16374
AZ
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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