Ingram Malcolm Kerry Dirton - Phoenix, AZ

Ingram Malcolm Kerry Dirton

Counselor in Phoenix, Arizona

NPI 1275302036

Ingram Malcolm Kerry Dirton is a Counselor based in Tempe, AZ. Ingram Malcolm Kerry Dirton practices in Phoenix, AZ. The NPI Number for Ingram Malcolm Kerry Dirton is 1275302036 and holds a License No. LAC-08076T (Arizona).

The current practice location address for Ingram Malcolm Kerry Dirton is 2102 W Bethany Home Rd, Phoenix, AZ and can be reached out via phone at 602-774-4745.

Location: 2102 W Bethany Home Rd, Phoenix, AZ, 85281-3221

NPI Number

1275302036

Provider Name

Ingram Malcolm Kerry Dirton

Credential

Provider Entity Type

Individual

Gender

Male

Address

2102 W Bethany Home Rd, Phoenix, AZ, 85281-3221

Phone Number

602-774-4745

Fax Number

Provider Enumeration Date

12/21/2023

Last Update Date

03/10/2024

Address

2102 W Bethany Home Rd

City

Phoenix

State

Arizona

Zip

85015-1935

Phone Number

602-774-4745

Fax Number

Address

2102 W Bethany Home Rd

City

Phoenix

State

Arizona

Zip

85015-1935

Phone Number

602-774-4745

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

LAC-08076T (Arizona)

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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