Individual
MS. KRISTY M WESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
650 E INDIAN SCHOOL RD BLDG 31, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
3710 E YEAGER DR, GILBERT, AZ 85295-1615
(510) 881-3608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
LMSW-21164
AZ
1041C0700X
Clinical Social Worker
Primary
LMSW-21164
AZ
Other
Enumeration date
05/12/2014
Last updated
11/09/2024
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