Individual
MR. KEVIN MOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
13260 N 94TH DR STE 100, PEORIA, AZ 85381-4242
(623) 487-7763
Mailing address
1405 S 367TH AVE, TONOPAH, AZ 85354-7791
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11601
AZ
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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