person
Mirta I Kaperonis, LCSW
Addiction (Substance Use Disorder) Counselor in Lake Havasu City, Arizona
NPI 1689809600

Mirta I Kaperonis is an Addiction (Substance Use Disorder) Counselor based in Lake Havasu City, AZ and is specialized in Addiction (Substance Use Disorder). Mirta I Kaperonis practices in Lake Havasu City, AZ and has the professional credentials of LCSW. The NPI Number for Mirta I Kaperonis is 1689809600 and holds a License No. LCSW-10019 (Arizona).

The current practice location address for Mirta I Kaperonis is 30 Acoma Blvd S, Lake Havasu City, AZ and can be reached out via phone at 928-680-0604 and via fax at 928-680-0605. You can also correspond with Mirta I Kaperonis through the mailing address at 30 ACOMA BLVD S, LAKE HAVASU CITY, AZ - 86403-5957 (mailing address contact number: 928-680-0604).

Location: 30 Acoma Blvd S, Lake Havasu City, AZ, 86403-5957
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Provider Profile Details
NPI Number
1689809600
Provider Name
Mirta I Kaperonis
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
30 Acoma Blvd S, Lake Havasu City, AZ, 86403-5957
Phone Number
928-680-0604
Fax Number
928-680-0605
Provider Enumeration Date
05/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LCSW-10019 01 AZ STATE LICENSE
LASAC-13100 01 AZ STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
30 Acoma Blvd S
City
State
Zip
86403-5957
Phone Number
928-680-0604
Fax Number
928-680-0605
person
Provider Business Mailing Address Details
Address
30 Acoma Blvd S
City
State
Zip
86403-5957
Phone Number
928-680-0604
Fax Number
928-680-0605
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LASAC-13100 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCSW-10019 (Arizona)
Definition
Definition to come...
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