Individual
MS. KERRY MARIE DIANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1845 S DOBSON RD STE 208, MESA, AZ 85202-5663
(480) 803-1500
Mailing address
1845 S DOBSON RD STE 208, MESA, AZ 85202-5663
(480) 803-1500
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17059
AZ
Other
Enumeration date
02/10/2007
Last updated
02/14/2022
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