Kaperonis, Mirta I

Kaperonis, Mirta I is an individual health care provider with primary practice located at 30 Acoma Blvd S Suite101-103, Lake Havasu City AZ 86403-5957. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Kaperonis, Mirta I can be contacted via phone (928) 680-0604.

Contact Information

Primary practice address
30 Acoma Blvd S Suite101-103 Lake Havasu City AZ 86403-5957
Phone: (928) 680-0604
Fax: (928) 680-0605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LCSW-10019 Arizona
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LASAC-13100 Arizona

Profile Details

NPI number 1689809600
LBN Legal business name Kaperonis, Mirta I
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2009
Last updated May 19th, 2009 - about 15 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 1689809600 NPPES
Arizona Other LCSW-10019 STATE LICENSE
Arizona Other LASAC-13100 STATE LICENSE

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