Individual
MIKAYLA MAY VERGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13612 W 12TH AVE, AIRWAY HEIGHTS, WA 99001-9436
(509) 499-7345
Mailing address
13612 W 12TH AVE, AIRWAY HEIGHTS, WA 99001-9436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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