Individual
KEIRA KIELMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4864 E BASELINE RD, MESA, AZ 85206-4629
(480) 992-8557
Mailing address
4864 E BASELINE RD STE 106, MESA, AZ 85206-4629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-21473
AZ
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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