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KATHLEEN W CORMIER LISAC NPI 1699757716


NPI Information

NPI: 1699757716
Provider Name: KATHLEEN W CORMIER, LISAC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
625 W HILLSIDE AVE
RUTH CLINIC
PRESCOTT, AZ
ZIP 86301
Phone: (928) 445-5211
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Kathleen W Cormier, LISAC is a counselor in Prescott, AZ. The provider is 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. Kathleen W Cormier, LISAC NPI is 1699757716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

625 W HILLSIDE AVE
RUTH CLINIC
PRESCOTT, AZ
ZIP 86301-936
Phone: (928) 445-5211
Fax: (928) 776-8484

The enumeration date for this NPI number is 11/15/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorLISAC1004ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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