Healthcare Provider Details

I. General information

NPI: 1699259523
Provider Name (Legal Business Name): JOAN KAY MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2018
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6619 N SCOTTSDALE RD
SCOTTSDALE AZ
85250-4421
US

IV. Provider business mailing address

8540 E VIA DE LOS LIBROS
SCOTTSDALE AZ
85258-3568
US

V. Phone/Fax

Practice location:
  • Phone: 480-485-4411
  • Fax:
Mailing address:
  • Phone: 602-430-0012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number16918
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: