Individual
MRS. KAMMIE JO FURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
10320 W MCDOWELL RD STE 7022, AVONDALE, AZ 85392-4871
(623) 215-8189
Mailing address
3858 E NICOLE AVE, KINGMAN, AZ 86409-0836
(661) 993-7216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-22209
AZ
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/30/2021
Last updated
11/15/2023
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