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Individual

MR. MITCH PAUL BOYKAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASTER OF COUNSELING

Contact information

Practice address
11225 NORTH 28TH DRIVE, SUITE D213, PHOENIX, AZ 85029
(602) 993-4323
(602) 993-0867
Mailing address
3201 WEST LANE AVENUE, PHOENIX, AZ 85051
(602) 973-5906

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LISAC0749
AZ
101Y00000X
Counselor
Primary
LPC0071
AZ

Other

Enumeration date
10/18/2006
Last updated
07/08/2007
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