Doctor Name: | MRS. CATHYANN M HERSOM |
NPI Number: | 1184845380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, MC |
License Number: | LPC10882 |
Business Practice Address: | 4121 E Valley Auto Dr Suite 122 Mesa, AZ - 852064631 |
Business Phone Number: | 6022859696 |
Business Fax Number: | |
Mailing Address: | 4065 E Vaughn Ave, GILBERT |
State: | AZ |
Postal Code: | 852340742 |
Phone Number: | 4802963823 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 02/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC10882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |