Individual
MIKE JADEN KAMANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2202 N 118TH LN, AVONDALE, AZ 85392-3060
(602) 699-1280
Mailing address
2202 N 118TH LN, AVONDALE, AZ 85392-3060
(602) 699-1280
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BH10083
AZ
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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