Individual
KELLY WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15425 S 40TH PL STE 5, PHOENIX, AZ 85044-3746
(480) 773-4972
Mailing address
15425 S 40TH PL STE 5, PHOENIX, AZ 85044-3746
(480) 773-4972
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-19041
AZ
Other
Enumeration date
04/03/2019
Last updated
11/21/2023
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