Individual
MR. MICHAEL JOHN ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC-0659
Contact information
Practice address
483 W SEED FARM RD, NEW BEGINNINGS BUILD, SACATON, AZ 85247
(602) 528-7167
(602) 528-1374
Mailing address
438 W SEED FARM RD, NEW BEGINNINGS BUILD, SACATON, AZ 85247
(602) 528-7167
(602) 528-1374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-0659
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346214
—
AZ
Enumeration date
02/05/2008
Last updated
02/05/2008
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