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Organization
GOODWORKS COUNSELING, INC.
Active
Organization
GOODWORKS COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WIELAND LISAC (PRESIDENT)
(480) 430-0169
Entity
Organization
Contact information
Practice address
2950 S ALMA SCHOOL RD, #11, MESA, AZ 85210-4035
(480) 821-1330
Mailing address
2950 S ALMA SCHOOL RD, #11, MESA, AZ 85210-4035
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173135
—
AZ
Enumeration date
05/03/2007
Last updated
08/22/2020
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