Individual
DENETT O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC MASTERS MGMT
Contact information
Practice address
7756 E. BROADWAY, TUCSON, AZ 85710
(520) 514-9888
(520) 514-9878
Mailing address
502 N. KNOX DR., TUCSON, AZ 85705-3334
(520) 514-9888
(520) 514-9878
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-1701
AZ
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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