SHANA L MCKISSICK

PHOENIX, AZ
NPI1760154678
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AZ  LAC20269)
Enumeration Date2021-09-29
Last Update Date2021-09-29
Business Address
SHANA L MCKISSICK MA, LAC
16815 S DESERT FOOTHILLS PKWY STE 134
PHOENIX, AZ 85048-8465
Phone number: 602-550-5221
Mailing Address
SHANA L MCKISSICK MA, LAC
291 N KENNETH PL
CHANDLER, AZ 85226-2944
Phone number: 480-309-9335