Organization
MK LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN MARTIN (OWNER)
(623) 556-7459
Entity
Organization
Contact information
Practice address
1755 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395-2532
(623) 455-6015
Mailing address
1755 N PEBBLE CREEK PKWY, GOODYEAR, AZ 85395-2532
(623) 455-6015
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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