Individual
RICHARD KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4747 N 7TH ST STE 450, PHOENIX, AZ 85014-3653
(602) 997-2880
Mailing address
4747 N 7TH ST STE 450, PHOENIX, AZ 85014-3653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16962
AZ
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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