Individual provider · Type 1 NPI

Kathy Sue Dutridge, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1902202567 Active

Practice location

1540 W Van Buren St
Phoenix, AZ 85007-2414

Call (602) 252-7330 Map

Fax (602) 252-4797

Mailing address

202 E Earll Dr, Suite 200
Phoenix, AZ 85012-2647

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XLPC-16803 (AZ)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1902202567

Kathy Sue Dutridge, LAC's National Provider Identifier is 1902202567, issued on Nov 10, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 9, 2024.