Individual
ALVIS LEE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3850 N. 16TH ST. E. BELTLINE RD., LAVEEN, AZ 85339
(520) 796-3860
(520) 796-3801
Mailing address
17242 S HEALTHCARE DR, LAVEEN, AZ 85339-8501
(520) 796-3860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11595
AZ
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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