Individual
KIRA NICOLE LAVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7530 E ANGUS DR, SCOTTSDALE, AZ 85251-6410
(480) 947-5739
Mailing address
11 S CENTRAL AVE APT 2112, PHOENIX, AZ 85004-2680
(310) 968-3484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-23084
AZ
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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