Individual
MICHAEL WAYNE ST. ORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 N 1ST AVE, TUCSON, AZ 85719-1770
(520) 327-4505
(520) 202-1889
Mailing address
127 S 5TH AVE, TUCSON, AZ 85701-2005
(520) 327-4505
(520) 202-1889
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC - 10732
AZ
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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