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Individual

VIKAAS KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
14040 N CAVE CREEK RD STE 210, PHOENIX, AZ 85022-6179
(602) 503-0710
(888) 927-0409
Mailing address
14040 N CAVE CREEK RD STE 210, PHOENIX, AZ 85022-6179
(602) 503-0710
(888) 927-0409

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-20381
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LAC-20381
STATE BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
11/28/2021
Last updated
11/28/2021
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