Adame, Misty D

Adame, Misty D is an sole proprietor health care provider with primary practice located at 21448 N 75Th Ave Ste 6 , Glendale AZ 85308-5978. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Adame, Misty D can be contacted via phone (623) 572-8053.

Contact Information

Primary practice address
21448 N 75Th Ave Ste 6 Glendale AZ 85308-5978
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14458 Arizona

Profile Details

NPI number 1851931844
LBN Legal business name Adame, Misty D
Credentials EDD LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2020
Last updated Jan 8th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851931844 NPPES
Arizona Other 1689082265 NPI

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