Individual provider · Type 1 NPI

Kaylee Rae Licciardi, LAC

Professional Counselor · Tempe, AZ

NPI number 1255196333 Active

Practice location

2120 S Mcclintock Dr Ste 105
Tempe, AZ 85282-2692

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-24925 (AZ)

Professional Counselor: Definition to come...

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About NPI 1255196333

Kaylee Rae Licciardi, LAC's National Provider Identifier is 1255196333, issued on Feb 16, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tempe, AZ. The record was last updated on Jun 18, 2026.