Individual
KARA L VAN BUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
10640 N 28TH DR, SUITE C-101, PHOENIX, AZ 85029-4527
(602) 429-9972
(602) 429-9974
Mailing address
13388 W CHAPAROSA WAY, PEORIA, AZ 85383-7880
(602) 380-3919
(602) 429-9974
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11257
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620302
—
AZ
Enumeration date
07/23/2006
Last updated
10/02/2014
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