Individual
MICAH KYMANI AMBRIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7819 GALVESTON BLVD APT D2, NORFOLK, VA 23505-2722
(312) 919-7691
Mailing address
7819 GALVESTON BLVD APT D2, NORFOLK, VA 23505-2722
(312) 919-7691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.021565
IL
Other
Enumeration date
10/01/2025
Last updated
10/02/2025
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