Individual
KAYLA BAKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 E MISSOURI AVE STE 550, PHOENIX, AZ 85014-2716
(786) 622-9885
Mailing address
13825 N 42ND ST, PHOENIX, AZ 85032-5853
(408) 460-6033
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23347
AZ
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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