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Individual
DIOGO MACHADO
Active
Individual
DIOGO MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-15094
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LASAC-15094
ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
10/07/2015
Last updated
10/07/2015
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