Brazzel, Kristine
Brazzel, Kristine is an sole proprietor health care provider with primary practice located at 3707 E Southern Ave 1008, Mesa AZ 85206-2569. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brazzel, Kristine can be contacted via phone (480) 228-2367.Contact Information
Primary practice address
3707 E Southern Ave 1008
Mesa AZ 85206-2569
Phone: (480) 228-2367
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-2390 | Arizona |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3823 | Arizona |
Profile Details
NPI number | 1063551166 |
---|---|
LBN Legal business name | Brazzel, Kristine |
Credentials | PSY.D., LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Jun 1st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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