Individual
VINCE TOIVO MIKKOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4700 S MILL AVE # B3, TEMPE, AZ 85282-6736
(480) 331-5017
Mailing address
4700 S MILL AVE # B3, TEMPE, AZ 85282-6736
(480) 331-5017
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-17999
AZ
Other
Enumeration date
07/13/2019
Last updated
10/06/2019
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