Individual
RHONDA KIPHUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
3338 W KINGS AVE, PHOENIX, AZ 85053-2940
(480) 660-5775
(602) 926-0590
Mailing address
3338 W KINGS AVE, PHOENIX, AZ 85053-2940
(480) 660-5775
(602) 926-0590
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
15424
AZ
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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