Individual
TRACEY JAKEA KUJABI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MH, CBT
Contact information
Practice address
9422 E BROADWAY RD, MESA, AZ 85208-2575
(480) 680-4461
Mailing address
9422 E BROADWAY RD APT A305, MESA, AZ 85208-2594
(480) 680-4461
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10662322
—
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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