Individual
KATHERINE FIREDANCING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17505 N 79TH AVE STE 213C, GLENDALE, AZ 85308-8728
(623) 688-8065
Mailing address
17505 N 79TH AVE STE 213C, GLENDALE, AZ 85308-8728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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