Individual
MS. KENDRA L SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LISAC
Contact information
Practice address
1415 N 1ST ST, PHOENIX, AZ 85004-1604
(602) 302-7815
(602) 258-6140
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LISAC-10693
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-11628
AZ
Other
Enumeration date
04/14/2008
Last updated
04/24/2013
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