Individual provider · Type 1 NPI

Shirley Vives, LAC

Mental Health Counselor · Phoenix, AZ

NPI number 1730385808 Active

Practice location

3306 W Catalina Dr
Phoenix, AZ 85017-5291

Fax (602) 353-0715

Mailing address

4220 N 20th Ave
Phoenix, AZ 85015-5101

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLAC12380 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1730385808

Shirley Vives, LAC's National Provider Identifier is 1730385808, issued on Jun 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 8, 2007.