Provider Demographics
NPI:1700193125
Name:SEXTON, KATHY L (LPC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:SEXTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 W SUMMIT PL UNIT 32
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1308
Mailing Address - Country:US
Mailing Address - Phone:602-471-8412
Mailing Address - Fax:
Practice Address - Street 1:6426 E MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-9738
Practice Address - Country:US
Practice Address - Phone:602-471-8412
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-13346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional