Individual
CATHRYN MARY RACCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
111 S 3RD AVE, WCB 5TH FLOOR, PHOENIX, AZ 85003-2226
(602) 506-3326
Mailing address
111 S 3RD AVE, WCB 5TH FLOOR, PHOENIX, AZ 85003-2226
(602) 506-3326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-10800
AZ
101YM0800X
Mental Health Counselor
LAC-12055
AZ
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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