Provider Demographics
NPI:1841473931
Name:BRITTON, KATHLEEN MARY (MC)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:MARY
Last Name:BRITTON
Suffix:
Gender:F
Credentials:MC
Other - Prefix:MRS
Other - First Name:KATHLEEN
Other - Middle Name:MARY
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MC
Mailing Address - Street 1:2060 W WHISPERING WIND DR
Mailing Address - Street 2:SUITE 274
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2867
Mailing Address - Country:US
Mailing Address - Phone:623-879-7599
Mailing Address - Fax:623-587-9739
Practice Address - Street 1:28037 N 23RD DR
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-4717
Practice Address - Country:US
Practice Address - Phone:623-879-7599
Practice Address - Fax:623-587-9739
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-11
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-12445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZLPC-12445OtherARIZONA LICENCE
AZ79811OtherNATIONAL CERTIFICATION