ANTHONY GREENIDGE, AZ LISAC - 15204

Addiction (Substance Use Disorder) Counselor · GOODYEAR, AZ

Individual Active NPI 1518102151

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Addiction (Substance Use Disorder) Counselor101YA0400X1322NC
Counselor101Y00000X
Addiction (Substance Use Disorder) Counselor101YA0400X15204AZ

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.