Individual provider · Type 1 NPI
Mikaela Ivy-Kian Adais Addams
Professional Counselor · Portales, NM
NPI number
1346007069
Active
Practice location
212 N Indio Ave
Portales, NM 88130-5634
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | CTB-2023-0693 (NM) |
Professional Counselor: Definition to come...
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About NPI 1346007069
Mikaela Ivy-Kian Adais Addams's National Provider Identifier is 1346007069, issued on Feb 29, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portales, NM. The record was last updated on Jun 1, 2026.