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Kathy Sue Dutridge, LAC
Mental Health Counselor in Phoenix, Arizona
NPI 1902202567

Kathy Sue Dutridge is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Kathy Sue Dutridge practices in Phoenix, AZ and has the professional credentials of LAC. The NPI Number for Kathy Sue Dutridge is 1902202567 and holds a License No. (Arizona).

The current practice location address for Kathy Sue Dutridge is 1540 W Van Buren St, Phoenix, AZ and can be reached out via phone at 602-252-7330 and via fax at 602-252-4797.

Location: 1540 W Van Buren St, Phoenix, AZ, 85012-2647
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Provider Profile Details
NPI Number
1902202567
Provider Name
Kathy Sue Dutridge
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
1540 W Van Buren St, Phoenix, AZ, 85012-2647
Phone Number
602-252-7330
Fax Number
602-252-4797
Provider Enumeration Date
11/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LAC-13064 01 AZ LAC LICENSE
institution
Provider Business Practice Location Address Details
Address
1540 W Van Buren St
City
State
Zip
85007-2414
Phone Number
602-252-7330
Fax Number
602-252-4797
person
Provider Business Mailing Address Details
Address
1540 W Van Buren St
City
State
Zip
85007-2414
Phone Number
602-252-7330
Fax Number
602-252-4797
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LPC-16803 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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