Individual
NATHAN VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LAC12953
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
LASAC13129
AZ
101YP2500X
Professional Counselor
Primary
LPC14297
AZ
Other
Enumeration date
09/22/2008
Last updated
07/19/2013
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