Individual
MIKAYLA A SOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
14040 N CAVE CREEK RD # 108, PHOENIX, AZ 85022-6117
(602) 358-7073
(888) 927-0409
Mailing address
23380 N 61ST DR, GLENDALE, AZ 85310-5748
(602) 358-7073
(888) 927-0409
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19260
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LAC-19260
AZ BOARD OF BEHAVIORAL HEALTH
AZ
Enumeration date
07/20/2022
Last updated
07/20/2022
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