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NPI Code Detail

MEDICARE: MRS. CAMI MICHELLE COVEY-DOUCET L.A.C.

MEDICARE: MRS. CAMI MICHELLE COVEY-DOUCET L.A.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLAC-12565AZ

General Provider Information

NPI Number : 1891912275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CAMI MICHELLE COVEY-DOUCET L.A.C.
Provider Business Mailing Address
First Line : 534 S 30TH ST
Second Line :
City : MESA
State : AZ
Zip : 85204-3112
Country : US
Telephone Number : 480-668-0712
Fax Number :
Provider Business Practice Location Address
First Line : 235 S EL DORADO CIR
Second Line :
City : MESA
State : AZ
Zip : 85202-1044
Country : US
Telephone Number : 480-968-2995
Fax Number : 480-967-4103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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