Individual
KIMBERLY ANN MATOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11022 S 51ST ST STE 202, PHOENIX, AZ 85044-4307
(602) 758-9788
Mailing address
11022 S 51ST ST STE 202, PHOENIX, AZ 85044-4307
(602) 758-9788
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11602
AZ
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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