MEDICARE: HONORA MARIE KIRCHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LAC-21455	AZ

General Provider Information

NPI Number	:	1568175248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONORA MARIE KIRCHER

Provider Business Mailing Address
First Line	:	2950 S ALMA SCHOOL RD STE 11
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4036
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2950 S ALMA SCHOOL RD STE 11
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85210-4036
Country	:	US
Telephone Number	:	480-882-4545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2022
Last Update Date	:	03/19/2025

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