Individual
LADIS MURILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4355 E UNIVERSITY DR STE 108, MESA, AZ 85205
(480) 578-2971
(480) 907-2365
Mailing address
4355 E UNIVERSITY DR STE 108, MESA, AZ 85205-7000
(480) 578-2971
(480) 907-2365
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/05/2022
Last updated
05/25/2023
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