Individual
APRIL LAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LISAC
Contact information
Practice address
15270 W BROOKSIDE LN STE 121, SURPRISE, AZ 85374-2449
(623) 432-0668
Mailing address
21139 W CARAVAGGIO LN, WITTMANN, AZ 85361-8685
(623) 210-5951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC10221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12499129
CAQH
AZ
Enumeration date
10/16/2013
Last updated
12/27/2013
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