Individual
MRS. LAVADA MICHELE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
15331 W BELL RD #212, PHOENIX, AZ 85008-8500
(602) 888-9448
Mailing address
7344 W COCHISE DR, PEORIA, AZ 85345-6726
(623) 308-9124
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LAC-18183
AZ
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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