Individual
KAYIJAMAHE GAKEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7170 W CAMINO SAN XAVIER BLDG C, GLENDALE, AZ 85308-0833
(800) 936-3736
Mailing address
PO BOX 464, PEORIA, AZ 85380-0464
(832) 546-3216
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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