Individual
KAYLA BLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LAC
Contact information
Practice address
1820 E RAY RD, CHANDLER, AZ 85225-8720
(602) 427-6302
Mailing address
1820 E RAY RD, CHANDLER, AZ 85225-8720
(602) 427-6302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC-18909
AZ
101YM0800X
Mental Health Counselor
Primary
LAC-18909
AZ
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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