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Individual

BEVIN LANAYA STOCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
4824 E BASELINE RD STE 124, MESA, AZ 85206-4679
(217) 419-3851
Mailing address
4824 E BASELINE RD STE 124, MESA, AZ 85206-4679
(217) 419-3851

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22555
AZ

Other

Enumeration date
06/15/2007
Last updated
12/28/2025
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