Individual
MR. DOUGLAS V HUEZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
1415 N 1ST ST, PHOENIX, AZ 85004-1604
(602) 685-6000
(602) 685-6001
Mailing address
3003 N CENTRAL AVE, SUITE 200, PHOENIX, AZ 85012-2902
(602) 685-6000
(602) 685-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-12588
AZ
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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