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Individual

PETER LOISELLE

Active
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Individual

PETER LOISELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LISAC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0936
AZ
1041C0700X
Clinical Social Worker
LCSW-0812
AZ

Other

Enumeration date
11/18/2005
Last updated
07/13/2026
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