Individual
LAIKEN DANIELLE DOLLENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 W RIO SALADO PKWY, TEMPE, AZ 85281-2695
(509) 969-5747
Mailing address
706 RENTSCHLER LN, TOPPENISH, WA 98948-1100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19247
AZ
Other
Enumeration date
07/23/2015
Last updated
12/01/2020
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