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Individual

MR. PETER ANTHONY PICONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., LISAC

Contact information

Practice address
900 E FLORENCE BLVD STE G, CASA GRANDE, AZ 85122-4673
(520) 836-4278
Mailing address
900 E FLORENCE BLVD STE G, CASA GRANDE, AZ 85122-4673

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15041
AZ

Other

Enumeration date
08/20/2015
Last updated
08/20/2015
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