Individual provider · Type 1 NPI

Kim E. Letendre, CRC, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1720948490 Active

Practice location

4539 N 22nd St Ste R
Phoenix, AZ 85016-4639

Mailing address

11162 W Pierce St
Avondale, AZ 85323-7915

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X23824 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1720948490

Kim E. Letendre, CRC, LAC's National Provider Identifier is 1720948490, issued on Nov 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 14, 2025.