Individual
MRS. KIM COURTNEY KRIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2435 E SOUTHERN AVE STE 2, TEMPE, AZ 85282-7628
(855) 483-7727
Mailing address
868 E CLOVEFIELD ST, GILBERT, AZ 85298-0634
(480) 319-4413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-168961
AZ
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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