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NPI Code Detail

MEDICARE: KATIE PLUKAS PLLC DBA SALT & LIGHT COUNSELING SERVICES

MEDICARE: KATIE PLUKAS PLLC DBA SALT & LIGHT COUNSELING SERVICES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1912834672
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATIE PLUKAS PLLC DBA SALT & LIGHT COUNSELING SERVICES
Provider Business Mailing Address
First Line : 4539 N 22ND ST STE N
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4639
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19366 E REINS RD
Second Line : PRIVATE LOCATION - TELEHEALTH OFFICE
City : QUEEN CREEK
State : AZ
Zip : 85142-8626
Country : US
Telephone Number : 623-343-3928
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATIE PLUKAS
Credential : LPC
Telephone Number : 623-343-3928
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/18/2026

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