Miva Psychotherapy
NPI #1104439413 in St Charles, Illinois
Provider Information
- NPI Number
- 1104439413
- Entity Type
- Organization
- Organization Name
- Miva Psychotherapy
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Aug 26, 2020
- Last Updated
- Oct 3, 2020
Practice Location
- Address
- 475 DUNHAM RD STE 1E
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174-1498
- Phone
- (331) 276-2355
Authorized Official
- Name
- AYAOVI ESENAM AMEZOTCHI
- Title
- THERAPIST
- Phone
- (630) 674-2405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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