Provider Demographics
NPI:1235328303
Name:BRIGGS, KATHRYN M (MC LPC NCC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:M
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:MC LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 S PRICE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-6606
Mailing Address - Country:US
Mailing Address - Phone:480-330-4765
Mailing Address - Fax:480-686-9314
Practice Address - Street 1:2460 W RAY RD
Practice Address - Street 2:STE 1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-641-1165
Practice Address - Fax:480-641-9026
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12696101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional