Individual provider · Type 1 NPI

Kathleen W. Cormier, LISAC

Counselor · Prescott, AZ

NPI number 1699757716 Active

Practice location

625 W Hillside Ave, Ruth Clinic
Prescott, AZ 86301-1936

Fax (928) 776-8484

Mailing address

642 Dameron Dr
Prescott, AZ 86301-2411

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLISAC1004 (AZ)

Counselor: 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.

4 other providers at this address

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About NPI 1699757716

Kathleen W. Cormier, LISAC's National Provider Identifier is 1699757716, issued on Nov 15, 2005. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Prescott, AZ. The record was last updated on Jul 13, 2026.