Individual
CAILEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1536 E MARYLAND AVE, PHOENIX, AZ 85014-1469
(602) 845-9525
Mailing address
321 W LA JOLLA DR, TEMPE, AZ 85282-4805
(480) 452-8332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC15889
AZ
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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