Individual provider · Type 1 NPI

Mary Kingery, LIAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1154020931 Active

Practice location

1934 E Camelback Rd Ste 120-172
Phoenix, AZ 85016-4126

Call (480) 882-7383 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15409 (AZ)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154020931

Mary Kingery, LIAC's National Provider Identifier is 1154020931, issued on Mar 1, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 9, 2025.