Individual
LISA MARIE GASTALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIAC
Contact information
Practice address
4909 E MCDOWELL RD, PHOENIX, AZ 85008-4227
(602) 685-6000
(602) 275-1355
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(026) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
155344
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
16482-130
WI
Other
Enumeration date
06/06/2012
Last updated
12/09/2024
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