Individual
MIKA KAY MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
149 GRAPE ST, ABILENE, TX 79601-5604
(325) 673-6489
Mailing address
3611 FM 568, SANTA ANNA, TX 76878-5516
(325) 726-9505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14785
TX
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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