Individual
MYRA NIKIRA CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8213 W MIAMI ST, PHOENIX, AZ 85043-1571
(602) 561-5612
Mailing address
8213 W MIAMI ST, PHOENIX, AZ 85043-1571
(602) 561-5612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
21912
AZ
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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