Individual
CATHERINE ATHANASOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2102 W BETHANY HOME RD, PHOENIX, AZ 85015-1935
(602) 486-9816
Mailing address
1101 W KATHLEEN RD, PHOENIX, AZ 85023-4420
(602) 486-9816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMSW-15318
AZ
104100000X
Social Worker
LMSW-15318
AZ
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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