Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathy Sue Dutridge, LAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1902202567

Kathy Sue Dutridge, LAC is a Mental Health Counselor in Phoenix, Arizona. Graduated from University of Arizona College of Medicine in 2007, 19 years ago. Practices with Maricopa County Special Health Care District, a 127-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
19
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2014
Specialties on file
2
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1540 W Van Buren St
Phoenix, AZ 85007-2414
Phone: (602) 252-7330
Fax: (602) 252-4797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-16803 (AZ)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1902202567
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 10, 2014
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Maricopa County Special Health Care District — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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